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Corey Staub

NPI 1114325305 · on the registry since 2014 · sole proprietor

Practice

Address
6 Drawbridge Dr
West Warwick, RI 02893
Phone
(401) 524-5417

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island