Individual
ELIZABETH H BRANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3762
(401) 444-8879
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3762
(401) 444-8879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LP01972
RI
2084P0804X
Child & Adolescent Psychiatry Physician
LP01972
RI
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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