Provider Demographics
NPI:1508249640
Name:TEMPLE, BRIAN C (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:C
Last Name:TEMPLE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:101 PLAIN STREET, 4TH FLOOR
Practice Address - Street 2:CNEMG PLASTICS AND RECONSTRUCTIVE SURGERY
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903
Practice Address - Country:US
Practice Address - Phone:401-736-4592
Practice Address - Fax:401-889-5008
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2024-12-17
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Provider Licenses
StateLicense IDTaxonomies
RIDO01378208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery