Alvin C Bacon, DO

NPI #1104836568 in North Smithfield, Rhode Island

Provider Information

NPI Number
1104836568
Entity Type
Individual
Name
Alvin C Bacon, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Aug 9, 2006
Last Updated
Mar 7, 2012

Practice Location

Address
598 GREAT RD
Address 2
LOWER LEVEL
ZIP Code
02896-6810
Phone
(401) 534-6784

Specialties & Taxonomy Codes

Specialty
Family Medicine

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Organizations

Provider Name
Alvin C. Bacon, INCNewBizBotAI Deep Dive

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