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Individual

DR. HEATHER M HURLBURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
390 TOLL GATE RD, SUITE 205, WARWICK, RI 02886
(401) 921-6263
(401) 921-6569
Mailing address
390 TOLL GATE RD, SUITE 205, WARWICK, RI 02886
(401) 921-6263
(401) 921-6569

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12258
RI
207RC0000X
Cardiovascular Disease Physician
220452
MA
207RC0000X
Cardiovascular Disease Physician
Primary
MD12258
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6003626
RI
Enumeration date
11/07/2006
Last updated
12/07/2012
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