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Individual

DR. DOUGLAS R GNEPP

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC 12, PROVIDENCE, RI 02903-4923
(401) 444-8513
(401) 444-8514
Mailing address
593 EDDY ST, DEPARTMENT OF PATHOLOGY APC 12, PROVIDENCE, RI 02903-4923
(401) 444-8513
(401) 444-8514

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD8115
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7003191
RI
Enumeration date
05/19/2006
Last updated
07/08/2007
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