| Aquidneck Neurology | |
|
112 Clock Tower Sq Portsmouth RI 02871-1396 | |
| (401) 683-9002 | |
| (401) 293-0330 |
| Full Name | Aquidneck Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 112 Clock Tower Sq, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Randy Kozel (OWNER) |
| Authorized Official Contact | 4016839002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquidneck Neurology 112 Clock Tower Sq Portsmouth RI 02871-1396 Ph: (401) 683-9002 | Aquidneck Neurology 112 Clock Tower Sq Portsmouth RI 02871-1396 Ph: (401) 683-9002 |
| NPI Number | 1093998676 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093998676 | NPI | - | NPPES |
| 10401 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| DB8163 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD07702 (Rhode Island) | Primary |
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