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Individual

JEFFREY M. SLAIBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905-3236
(401) 553-8333
(401) 868-2312
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD08672
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3131807
MA
05
9020206
RI
Enumeration date
07/13/2005
Last updated
01/29/2020
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