Organization
KLIBANOFF EYE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KLIBANOFF OD (PRESIDENT)
(401) 723-3400
Entity
Organization
Contact information
Practice address
121 BROAD ST, PAWTUCKET, RI 02860-2053
(401) 723-3400
Mailing address
121 BROAD ST, PAWTUCKET, RI 02860-2053
(401) 723-3400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CODTG00551
RI
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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