| |
167 Point St Providence RI 02903-4771 | |
(401) 444-4690 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 167 Point St, Providence, Rhode Island |
Authorized Official Name and Position | Peter Markell (EVP AND CHIEF FINANCIAL OFFICE) |
Authorized Official Contact | 4014447914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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167 Point St Providence RI 02903-4771 Ph: () - | 167 Point St Providence RI 02903-4771 Ph: (401) 444-4690 |
NPI Number | 1235957713 |
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Provider Enumeration Date | 10/02/2024 |
Last Update Date | 10/04/2024 |
Identifier | Type | State | Issuer |
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1235957713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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