Coastal Medical Inc | |
10 Davol Sq Suite 400 Providence RI 02903-4754 | |
(401) 421-4000 | |
(401) 453-3258 |
Full Name | Coastal Medical Inc |
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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 |
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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 |
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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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