Individual
DR. BRIAN J PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 RESERVOIR AVE, CRANSTON, RI 02910-4423
(401) 464-6617
(401) 464-6673
Mailing address
750 RESERVOIR AVE, CRANSTON, RI 02910-4423
(401) 464-6617
(401) 464-6673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10932
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009982
—
RI
Enumeration date
11/16/2006
Last updated
09/24/2007
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