| The Fogarty Center | |
|
310 Maple Ave Suite 102 Barrington RI 02806-3430 | |
| (401) 245-7900 | |
| (401) 245-7910 |
| Full Name | The Fogarty Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 310 Maple Ave, Barrington, Rhode Island |
| Authorized Official Name and Position | David C Reiss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4012457900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fogarty Center 310 Maple Ave Suite 102 Barrington RI 02806-3430 Ph: (401) 245-7900 | The Fogarty Center 310 Maple Ave Suite 102 Barrington RI 02806-3430 Ph: (401) 245-7900 |
| NPI Number | 1447378559 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447378559 | NPI | - | NPPES |
| OS46717 | Other | RI | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 183 (Rhode Island) | Primary |
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