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Organization

LYDIA L. KLUFAS MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYDIA L. KLUFAS MD (OWNER)
(401) 724-7800
Entity
Organization

Contact information

Practice address
525 BROAD ST, SUITE 201, CUMBERLAND, RI 02864-6919
(401) 724-7800
(401) 727-0342
Mailing address
525 BROAD ST, SUITE 201, CUMBERLAND, RI 02864-6919
(401) 724-7800
(401) 727-0342

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8614
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004913
BLUE CHIP
RI
01
0300158
UNITED HEALTH
01
27294-6
BLUE CROSS
RI
Enumeration date
07/02/2008
Last updated
07/02/2008
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