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Glen Gauthier

NPI 1518560788 · on the registry since 2020 · sole proprietor

Practice

Address
595 Smithfield Rd
North Smithfield, RI 02896
Phone
(401) 765-6722
Fax
(401) 769-2884
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-19

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