| Ri Integrated Medicine | |
|
521 Park Ave Cranston RI 02910-2346 | |
| (401) 781-3374 | |
| (401) 781-3376 |
| Full Name | Ri Integrated Medicine |
|---|---|
| Speciality | Social Worker |
| Location | 521 Park Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Victor M Pedro (DIRECTOR) |
| Authorized Official Contact | 4017813374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri Integrated Medicine 521 Park Ave Cranston RI 02910-2346 Ph: (401) 781-3374 | Ri Integrated Medicine 521 Park Ave Cranston RI 02910-2346 Ph: (401) 781-3374 |
| NPI Number | 1174564546 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174564546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | ISW1224 (Rhode Island) | Primary |
| 111NN0400X | Chiropractor - Neurology | 244DC (Rhode Island) | Secondary |
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