Organization
ALVIN C. BACON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN C BACON DO (OWNER)
(401) 534-6784
Entity
Organization
Contact information
Practice address
598 GREAT RD, LOWER LEVEL, NORTH SMITHFIELD, RI 02896-6810
(401) 534-6784
(401) 356-4990
Mailing address
33 CHAMBLY AVE, WARWICK, RI 02888-1805
(401) 534-6784
(401) 356-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00461
RI
Other
Enumeration date
01/31/2012
Last updated
04/26/2012
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