Individual
DR. CANDACE L DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Mailing address
390 TOLL GATE RD, STE 200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RI6126
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003673
BLUE CHIP PROVIDER ID
RI
01
—
29067-8
BLUE CROSS PROVIDER ID
RI
05
—
7000783
—
RI
Enumeration date
07/20/2005
Last updated
07/08/2007
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