| Jennifer Souther Md Inc | |
|
30 Martin St Unit 30a Cumberland RI 02864-5321 | |
| (401) 334-4500 | |
| (401) 312-0096 |
| Full Name | Jennifer Souther Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Martin St, Cumberland, Rhode Island |
| Authorized Official Name and Position | Caryn Russo (OFFICE MANAGER) |
| Authorized Official Contact | 4013344500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Souther Md Inc 30 Martin St Unit 30a Cumberland RI 02864-5321 Ph: (401) 334-4500 | Jennifer Souther Md Inc 30 Martin St Unit 30a Cumberland RI 02864-5321 Ph: (401) 334-4500 |
| NPI Number | 1346394616 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346394616 | NPI | - | NPPES |
| 01-02493 | Other | RI | UNITED HEALTH CARE |
| 32087-4 | Other | RI | BLUE CROSS |
| 409677 | Other | RI | BLUE CHIP OF RI |
| 12001018 | Other | RI | MULTIPLAN |
| MD10848 | Other | RI | LIC |
| AA242 | Other | RI | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD10848 (Rhode Island) | Primary |
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Physicians Of Rhode Island Medical Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Nate Whipple Hwy, Suite 101 Cumberland Medical Center, Cumberland, RI 02864 Phone: 401-658-2020 Fax: 401-658-3612 | |
Rhode Island Family Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Martin St, Unit #30a, Cumberland, RI 02864 Phone: 401-312-0093 Fax: 401-312-0096 | |
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