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LEOR SURILOV

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1659057818
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
25 WELLS ST, WESTERLY, RI, 028912922
Phone
(401) 348-3670

Specialties & Taxonomies

Clinic/Center, Primary Care License: TN
Family Medicine Primary License: CT #84037

All Addresses

MAILING

1643 NW 136TH AVE # H-100

SUNRISE, FL, 333233091

(954) 377-2939

LOCATION

25 WELLS ST

WESTERLY, RI, 028912922

(401) 348-3670