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10 Davol Sq Ste 300 Providence RI 02903-4754 | |
| (401) 421-4000 | |
| (401) 272-1456 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Davol Sq Ste 300, Providence, Rhode Island |
| Authorized Official Name and Position | Christine Rawnsley (VP REVENUE CYCLE) |
| Authorized Official Contact | 4014446905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10 Davol Sq Ste 300 Providence RI 02903-4754 Ph: (401) 421-4000 | 10 Davol Sq Ste 300 Providence RI 02903-4754 Ph: (401) 421-4000 |
| NPI Number | 1245008937 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245008937 | NPI | - | NPPES |
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