Individual
DANIEL REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
Mailing address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDP00511
RI
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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