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Individual

STEPHEN MAGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1144E CURTIS CORNER RD, S KINGSTOWN, RI 02879-1461
(401) 783-6940
(401) 792-3676
Mailing address
1144E CURTIS CORNER RD, S KINGSTOWN, RI 02879-1461
(401) 783-6940
(401) 792-3676

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00316
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3214
BLUE CROSS/BLUE SHIELD
RI
05
9003214
RI
Enumeration date
09/07/2005
Last updated
07/31/2013
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