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Individual

MR. GEORGE MICHAEL ESCOBAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDOE

Contact information

Practice address
7691 POST RD, NORTH KINGSTOWN, RI 02852-3220
(401) 295-8811
Mailing address
20 CROSSWYNDS DR, SAUNDERSTOWN, RI 02874-2407
(401) 295-2440

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2110
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22324-7
BLUE CROSS OF RI
RI
01
407595
BLUE CHIP OF RI
RI
01
63-00159
UNITED HEALTHCARE
RI
Enumeration date
03/14/2007
Last updated
07/08/2007
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