Westerly Family Practice LLC

NPI #1174718639 in Westerly, Rhode Island

Provider Information

NPI Number: 1174718639
Entity Type: Organization
Organization Name: Westerly Family Practice LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 7, 2007
Last Updated: Sep 7, 2007

Practice Location

Address: 62 WELLS ST
City: Westerly
State: Rhode Island
ZIP Code: 02891-2924
Phone: (401) 348-5005

Authorized Official

Name: HARTMUT DOERWALDT, MD
Title: OWNER
Phone: (401) 348-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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