| Coastal Medical Inc | |
|
10 Davol Sq Suite 400 Providence RI 02903-4754 | |
| (401) 421-4000 | |
| (401) 453-3258 |
| Full Name | Coastal Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Davol Sq, Providence, Rhode Island |
| Authorized Official Name and Position | Meryl Moss (COO) |
| Authorized Official Contact | 4014214000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Inc 10 Davol Sq Suite 400 Providence RI 02903-4754 Ph: (401) 421-4000 | Coastal Medical Inc 10 Davol Sq Suite 400 Providence RI 02903-4754 Ph: (401) 421-4000 |
| NPI Number | 1609863828 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 04/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609863828 | NPI | - | NPPES |
| CM13413 | Medicaid | RI |
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