Provider Information for 1669745147
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CHRISTOPHER GELINAS
Sex: Male
NPI: 1669745147
Last Updated: 2022-06-10
Certification Date: 2022-06-10
Certification Date: 2022-06-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1669745147 | ||||||||
| Enumeration Date | 2012-02-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 117 EDDIE DOWLING HWY UNIT LLA NORTH SMITHFIELD, RI 02896-7337 United States Phone: 401-636-4870 | Fax: | ||||||||
| Primary Practice Address | 117 EDDIE DOWLING HWY UNIT LLA NORTH SMITHFIELD, RI 02896-7337 United States Phone: 401-636-4870 | Fax: | ||||||||
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