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CORTLAND PLACE HEALTH CENTER, INC.,

Stethoscope
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CORTLAND PLACE HEALTH CENTER, INC.

NPI Number 1043337330
State Identifier(s) Rhode Island Medicaid #4105123
Rhode Island Other ID #5432, 402017, 5309
Rhode Island Medicare ID #415123
Group Name CORTLAND PLACE HEALTH CENTER, INC.
Credentials - Lic #: ()
Mailing Address Confidential
Business Address 20 AUSTIN AVE
GREENVILLE, RI 02828-1449

Phone (401) 949-3880 Fax (401) 949-4170
Name BRIAN MORAN - (CONTROLLER)
Primary Specialty Multiple
Additional Specialties
Last Modified 07/08/2007
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