Individual
RAYMOND BRODEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4259 OLD POST RD, CHARLESTOWN, RI 02813-2571
(401) 364-0100
Mailing address
7 SHADY GROVE RD, HOPE VALLEY, RI 02832-1253
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT01503
RI
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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