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Individual

PETER GEORGE BRASSARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1053 S BROADWAY, EAST PROVIDENCE, RI 02914-4729
(401) 438-5551
(401) 438-7272
Mailing address
1053 S BROADWAY, EAST PROVIDENCE, RI 02914-4729
(401) 438-5551
(401) 438-7272

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
150111
MA
207Q00000X
Family Medicine Physician
Primary
CMD06972
RI
207Q00000X
Family Medicine Physician
G7396
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0103881
UNITED HEALTH CARE
RI
01
12287833
MULTIPLAN
RI
01
200861
BLUE CHIP (BCBSRI)
RI
01
2047248
HEALTH CARE VALUE MGMT
RI
01
26953
BLUE CROSS BLUE SHIELD
RI
01
9374902
PHCS
RI
Enumeration date
08/03/2005
Last updated
12/02/2014
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