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Organization

GERARD G. GAGNE, JR. MD GENERAL ADULT PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERARD GEORGE GAGNE MD (PHYSICIAN, PRESIDENT)
(401) 431-1500
Entity
Organization

Contact information

Practice address
250 WAMPANOAG TRL, SUITE 303, RIVERSIDE, RI 02915-2218
(401) 431-1500
(401) 438-1605
Mailing address
250 WAMPANOAG TRL, SUITE 303, RIVERSIDE, RI 02915-2218
(401) 431-1500
(401) 438-1605

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/30/2006
Last updated
09/25/2008
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