Organization
GREGORY G ALLEN JR, D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J BERGERON (PRACTICE MANAGER)
(401) 946-6460
Entity
Organization
Contact information
Practice address
1681 CRANSTON ST, SUITE D, CRANSTON, RI 02920-5000
(401) 946-8446
(401) 946-8340
Mailing address
1681 CRANSTON ST, SUITE D, CRANSTON, RI 02920-5000
(401) 946-8446
(401) 946-8340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO 00582
RI
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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