Individual
BRIAN CONNER GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 CHANDLER ST, NEWPORT, RI 02841-1718
(401) 367-1646
Mailing address
47 CHANDLER ST, NEWPORT, RI 02841-1718
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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