Individual
JEROME L MISSEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
583 HARRIS AVE, WOONSOCKET, RI 02895-1872
(617) 930-9229
Mailing address
583 HARRIS AVE, WOONSOCKET, RI 02895-1872
(617) 930-9229
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33434
MA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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