Neurologic Center For Epilepsy, Llc | |
375 Wampanoag Trl Ste 405b East Providence RI 02915 | |
(401) 781-2400 | |
(401) 526-9517 |
Full Name | Neurologic Center For Epilepsy, Llc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 375 Wampanoag Trl Ste 405b, East Providence, Rhode Island |
Authorized Official Name and Position | Preeti Gupta (MEDICAL DIRECTOR) |
Authorized Official Contact | 4017812400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neurologic Center For Epilepsy, Llc 375 Wampanoag Trl Ste 405b Riverside RI 02915-2232 Ph: (401) 781-2400 | Neurologic Center For Epilepsy, Llc 375 Wampanoag Trl Ste 405b East Providence RI 02915 Ph: (401) 781-2400 |
NPI Number | 1831975309 |
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Provider Enumeration Date | 08/31/2023 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831975309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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