Individual
DR. BRENT JONATHAN EMIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY STREET, APC 425, PROVIDENCE, RI 02903
(401) 444-7148
Mailing address
593 EDDY STREET, APC 425, PROVIDENCE, RI 02903
(401) 444-7148
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10054869
TX
Other
Enumeration date
06/26/2015
Last updated
06/27/2023
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