Individual
JEFFREY A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-5057
(401) 444-8514
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
241856
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD16410
RI
Other
Enumeration date
06/27/2007
Last updated
11/16/2018
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