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1130 Ten Rod Rd Ste F207c North Kingstown RI 02852-4172 | |
| (401) 405-1839 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1130 Ten Rod Rd Ste F207c, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Nicole Jean Gigliotti (OWNER) |
| Authorized Official Contact | 4014051839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 Medinah Dr West Warwick RI 02893-1964 Ph: (401) 256-8467 | 1130 Ten Rod Rd Ste F207c North Kingstown RI 02852-4172 Ph: (401) 405-1839 |
| NPI Number | 1831845841 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831845841 | NPI | - | NPPES |
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Michael Pendergast Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd, Building D, Suite 307-c, North Kingstown, RI 02852 Phone: 401-301-4526 | |
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