Individual
DR. GREGORY P FESSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MS, LAC
Contact information
Practice address
1 SUMMER ST, WESTERLY, RI 02891-2242
(917) 882-6262
Mailing address
1 SUMMER ST, WESTERLY, RI 02891-2242
(917) 882-6262
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DA00346
RI
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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