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Gradam Men'S Health Testosterone Clinic LLC — NPI 1083425854, Rumford, RI | NPI Central

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NPI 1083425854

OrganizationActive

Gradam Men'S Health Testosterone Clinic LLC

NPI 1083425854 · Clinic/Center · Rumford, RI

Provider details

NPI number: 1083425854
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Charlie Imonah, Medical Director(401) 599-3737

Specialties & taxonomies

Clinic/CenterPrimary261Q00000X
Ambulatory Health Care Facilities

Practice location

225 Newman Ave

Rumford, RI 02916-1218

Phone: (401) 599-3737

Fax: (401) 409-5545

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

225 Newman Ave

Rumford, RI 02916-1218

Other names (DBA / former)

Former legal business name: Gradam Dispatching Services LLC

Registry dates

Enumerated: 2025-01-20
Last updated: 2025-01-20
Certified: 2025-01-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.