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Individual

ROGER D. RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 WARREN AVE, 2ND FLOOR, EAST PROVIDENCE, RI 02914-1432
(401) 606-1004
(401) 606-1153
Mailing address
950 WARREN AVE, 2ND FLOOR, EAST PROVIDENCE, RI 02914-1432
(401) 606-1004
(401) 606-1153

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD04120
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000379
RI
Enumeration date
07/21/2006
Last updated
05/05/2014
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