Matthew K. Rocheleau, Do Llc | |
215 Toll Gate Rd Ste 306 Warwick RI 02886-4462 | |
(401) 373-0820 | |
Not Available |
Full Name | Matthew K. Rocheleau, Do Llc |
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Speciality | Clinic/Center |
Location | 215 Toll Gate Rd Ste 306, Warwick, Rhode Island |
Authorized Official Name and Position | Matthew Rocheleau (OWNER) |
Authorized Official Contact | 4013730820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matthew K. Rocheleau, Do Llc 215 Toll Gate Rd Ste 306 Warwick RI 02886-4462 Ph: (401) 373-0820 | Matthew K. Rocheleau, Do Llc 215 Toll Gate Rd Ste 306 Warwick RI 02886-4462 Ph: (401) 373-0820 |
NPI Number | 1023797826 |
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Provider Enumeration Date | 07/18/2023 |
Last Update Date | 01/22/2024 |
Medicare PECOS PAC ID | 5698120426 |
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Medicare Enrollment ID | O20231013000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023797826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Matthew Kirk Rocheleau |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093342321 PECOS PAC ID: 6103240965 Enrollment ID: I20231013000400 |
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