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Organization

VETERANS AFFAIRS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL F SULLIVAN MSW (SOCIAL WORKER)
0
Entity
Organization

Contact information

Practice address
132 NORTHBRIDGE AVE, WARWICK, RI 02886-2824
(401) 733-9276
Mailing address
132 NORTHBRIDGE AVE, WARWICK, RI 02886
(401) 733-9276

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
CSW 00303
RI

Other

Enumeration date
07/31/2006
Last updated
08/22/2020
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