Alfred Henry Liddle, PA

NPI #1205813615 in Lincoln, Rhode Island

Provider Information

NPI Number: 1205813615
Entity Type: Individual
Name: Alfred Henry Liddle, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 28, 2005
Last Updated: Oct 9, 2007

Practice Location

Address: 2 WAKE ROBIN RD
City: Lincoln
State: Rhode Island
ZIP Code: 02865-4241
Phone: (401) 334-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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