| Edward A. Pensa Medical Inc. | |
|
33 Staniford St Providence RI 02905-3105 | |
| (401) 421-8800 | |
| (401) 273-6510 |
| Full Name | Edward A. Pensa Medical Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 33 Staniford St, Providence, Rhode Island |
| Authorized Official Name and Position | Edward A. Pensa (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4014218800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A. Pensa Medical Inc. 33 Staniford St Providence RI 02905-3105 Ph: (401) 421-8800 | Edward A. Pensa Medical Inc. 33 Staniford St Providence RI 02905-3105 Ph: (401) 421-8800 |
| NPI Number | 1437324530 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437324530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 11377 (Rhode Island) | Primary |
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