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Dr. Joseph Terlato

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NPI Number Detailed Information

Provider Information:

Name: Dr. Joseph Terlato
Gender: M
Provider License Number If Given: MD08852

NPI Information:

NPI: 1770577298
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 1/19/2016

Provider Business Mailing Address:

Address: 10 DAVOL SQ SUITE 400
Providence, RI 02903
Phone Number: 4014214000
Fax Number: 4012721456

Provider Business Practice Location Address:

Address: 900 WARREN AVE SUITE 401
East Providence, RI 02914
Phone Number: 8005084908
Fax Number: 4012286236

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: RI

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