| Gradam Men's Health Testosterone Clinic Llc | |
|
225 Newman Ave Rumford RI 02916-1218 | |
| (401) 599-3737 | |
| (401) 409-5545 |
| Full Name | Gradam Men's Health Testosterone Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 225 Newman Ave, Rumford, Rhode Island |
| Authorized Official Name and Position | Charlie O Imonah (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4015993737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gradam Men's Health Testosterone Clinic Llc 225 Newman Ave Rumford RI 02916-1218 Ph: (401) 599-3737 | Gradam Men's Health Testosterone Clinic Llc 225 Newman Ave Rumford RI 02916-1218 Ph: (401) 599-3737 |
| NPI Number | 1083425854 |
|---|---|
| Provider Enumeration Date | 01/20/2025 |
| Last Update Date | 01/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083425854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Boti Diet Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Hood Ave, Rumford, RI 02916 Phone: 401-595-2879 |