Gradam Men's Health Testosterone Clinic LLC

NPI #1083425854 in Rumford, Rhode Island

Provider Information

NPI Number: 1083425854
Entity Type: Organization
Organization Name: Gradam Men's Health Testosterone Clinic LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 20, 2025
Last Updated: Jan 20, 2025

Practice Location

Address: 225 NEWMAN AVE
City: Rumford
State: Rhode Island
ZIP Code: 02916-1218
Phone: (401) 599-3737

Authorized Official

Name: DR. CHARLIE O IMONAH, APRN, DNP, FNP
Title: MEDICAL DIRECTOR
Phone: (401) 599-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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