James K. Cardi,m.d.,inc. | |
677 Atwood Ave Cranston RI 02920-5322 | |
(401) 942-6500 | |
(401) 942-6505 |
Full Name | James K. Cardi,m.d.,inc. |
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Speciality | Exclusive Provider Organization |
Location | 677 Atwood Ave, Cranston, Rhode Island |
Authorized Official Name and Position | James K Cardi (PRESIDENT) |
Authorized Official Contact | 4019426500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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James K. Cardi,m.d.,inc. 677 Atwood Ave Cranston RI 02920-5322 Ph: (401) 942-6500 | James K. Cardi,m.d.,inc. 677 Atwood Ave Cranston RI 02920-5322 Ph: (401) 942-6500 |
NPI Number | 1669651162 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 09/17/2013 |
Medicare PECOS PAC ID | 2062592777 |
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Medicare Enrollment ID | O20080108000354 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669651162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD08000 (Rhode Island) | Secondary |
302F00000X | Exclusive Provider Organization | MD8000 (Rhode Island) | Primary |
Provider Name | James Kenneth Cardi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104890292 PECOS PAC ID: 3678653383 Enrollment ID: I20100929000349 |
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