Organization
ALLIANCE ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A. GODLEY MD (PRESIDENT)
(401) 331-9690
Entity
Organization
Contact information
Practice address
845 N MAIN ST, SUITE 1, PROVIDENCE, RI 02904-5700
(401) 331-9690
(401) 331-9609
Mailing address
845 N MAIN ST, SUITE 1, PROVIDENCE, RI 02904-5700
(401) 331-9690
(401) 331-9609
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
RI
Other
Enumeration date
07/27/2006
Last updated
02/08/2011
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