Organization
PATRICK J. BRANNON, MD, LTD
Active
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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