EDWARD J GAUTHIER MD INC
Osteopathic Medicine at Smith St, Providence, RI

License number
Rhode Island 3421
Category
Osteopathic Medicine
Type
Pulmonary Disease
Owner
Name: KIMBERLY T DAWSON
Title: PRACTICE MANAGER
Phone: (401) 572-3120
Address
Address 2
1332 Smith St, Providence, RI 02911
PO Box 8879, Cranston, RI 02920
National Provider ID: 1326399726
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD J. GAUTHIER, M.D., INC

1332 Smith St, North Providence, RI 02911

Industry:
Medical Services
Registration:
Oct 19, 1981
State ID:
000010041
Business type:
Professional Service Corporation
President:
Edward J Gauthier (President), 1332 Smith St, North Providence, RI 02911 (Physical)
Agent:
Edward J. Gauthier,1332 Smith St, North Providence, RI 02911 (Physical)

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