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Individual

DR. JAY M BURSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-3649
(401) 752-8116
Mailing address
200 HIGH SERVICE AVE, MARION HALL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3646
(401) 752-8116

Taxonomy

Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
MD10882
RI

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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