Individual
DR. BRIAN D CILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
70 KENYON AVE, WAKEFIELD, RI 02879-4239
(401) 782-8000
Mailing address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243666
MA
207RI0200X
Infectious Disease Physician
243666
MA
207RI0200X
Infectious Disease Physician
Primary
DO00678
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760668484
—
RI
Enumeration date
01/11/2008
Last updated
12/12/2024
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