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Individual

MICHAEL J DACEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4265
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4265

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
08333
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD33744
RI
Enumeration date
02/28/2006
Last updated
07/08/2007
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