Individual
ERIC BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8450
(401) 444-5088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LP00825
RI
Other
Enumeration date
04/16/2007
Last updated
06/17/2021
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