Individual
ANTONIO BENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS
Contact information
Practice address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 727-7034
(401) 726-5580
Mailing address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 727-7034
(401) 726-5580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
12/26/2008
Last updated
12/26/2008
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