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Individual

BRIDGET ANNE WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2908
CT
363A00000X
Physician Assistant
4703
MA
363A00000X
Physician Assistant
Primary
PA00732
RI

Other

Enumeration date
05/28/2013
Last updated
11/07/2013
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