Individual
MR. JOHN JOSEPH O'BRIEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 CAPITOL HL STE 206, PROVIDENCE, RI 02908-5034
(401) 222-2595
(401) 222-2456
Mailing address
3 CAPITOL HL STE 206, PROVIDENCE, RI 02908-5034
(401) 222-2595
(401) 222-2456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ELT-0070
RI
Other
Enumeration date
06/13/2007
Last updated
09/07/2023
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