Ivan S Wolfson, MD | |
375 Allens Ave, Providence, RI 02905-5010 | |
(401) 444-0400 | |
(401) 444-0468 |
Full Name | Ivan S Wolfson |
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Gender | Male |
Speciality | Family Medicine |
Location | 375 Allens Ave, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841358587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD8535 (Rhode Island) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | MD8535 (Rhode Island) | Secondary |
Entity Name | The Providence Community Health Centers Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007 |
Entity Name | Rhode Island Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154537520 PECOS PAC ID: 8921900044 Enrollment ID: O20141017000105 |
Mailing Address | Practice Location Address |
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Ivan S Wolfson, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 | Ivan S Wolfson, MD 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 |
Soraya S. P. Darwood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427 | |
Scott Jusseaume, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 Fax: 401-863-7953 | |
Martin M. Miner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Blding, Providence, RI 02906 Phone: 401-793-4636 Fax: 401-793-4639 | |
Sheldon D. E. Malcolm, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427 | |
Dr. Stephanie Barak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-453-7655 | |
Chhavi Karir, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 355 Prairie Ave, Providence, RI 02905 Phone: 401-444-0570 Fax: 401-444-0427 | |
Janet R. Encarnacion, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-415-9500 Fax: 401-415-9515 |