DAVID C AHERN

LIFESPAN PHYSICIAN GROUP, INC.

Dr DAVID C AHERN is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2010.

Contact

LIFESPAN PHYSICIAN GROUP, INC.

593 EDDY ST
PROVIDENCE
RI
029034923

Tel: 4014446779

DAVID C AHERN Information

Npi 1821352527
Pac Id 1052563822
Professional Enrollment Id I20121203000033
Last Name AHERN
First Name DAVID
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Group Practice Pac Id 2567455082
Number Of Group Practice Members 615
Line 1 Street Address 593 EDDY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PROVIDENCE
State RI
Zip Code 029034923
Phone Number 4014446779
Hospital Affiliation Ccn 1 410012
Hospital Affiliation Lbn 1 THE MIRIAM HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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