Organization
PATRICK J. BRANNON, MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH BRANNON MD (PRESIDENT)
(401) 946-1810
Entity
Organization
Contact information
Practice address
725 RESERVOIR AVE, SUITE 204, CRANSTON, RI 02910-4448
(401) 946-1810
(401) 946-4364
Mailing address
725 RESERVOIR AVE, SUITE 204, CRANSTON, RI 02910-4448
(401) 946-1810
(401) 946-4364
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
RI5343
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000518
—
RI
Enumeration date
10/23/2007
Last updated
10/23/2007
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