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Brad Blankenhorn M.D. NPI 1003033119

Classification
Orthopaedic Surgery
Type
License No.
2012-0546
License State
NM
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year
2005
Identifier
Type
State
Identifier: 110087299A
Type: OTHER (01)
State: RI
Identifier: BB81009
Type: MEDICAID (05)
State: RI

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI, 29145375
Business Phone
401-330-1405
Mailing Address
PO BOX 1119, PROVIDENCE, RI, 29011119
Mailing Phone
401-330-1405
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