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Individual

DR. ROBERT PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905-3236
(401) 272-1800
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LP01813
RI
208600000X
Surgery Physician
Primary
MD14633
RI

Other

Enumeration date
07/07/2009
Last updated
06/18/2014
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