Michael R Heru, Md Ltd | |
594 Great Rd Ste 102a Suite 105 North Smithfield RI 02896-6810 | |
(401) 597-0088 | |
Not Available |
Full Name | Michael R Heru, Md Ltd |
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Speciality | Internal Medicine |
Location | 594 Great Rd Ste 102a, North Smithfield, Rhode Island |
Authorized Official Name and Position | Michael R Heu (OWNER) |
Authorized Official Contact | 4015970088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael R Heru, Md Ltd 594 Great Rd Ste 102a Suite 105 North Smithfield RI 02896-6810 Ph: (401) 597-0088 | Michael R Heru, Md Ltd 594 Great Rd Ste 102a Suite 105 North Smithfield RI 02896-6810 Ph: (401) 597-0088 |
NPI Number | 1629501705 |
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Provider Enumeration Date | 04/06/2017 |
Last Update Date | 04/06/2017 |
Medicare PECOS PAC ID | 1557638160 |
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Medicare Enrollment ID | O20170602001850 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629501705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael R Heru |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982651626 PECOS PAC ID: 1355336058 Enrollment ID: I20040420000557 |
Rhode Island Health Group Primacare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 63 Eddie Dowling Hwy Ste 1, North Smithfield, RI 02896 Phone: 401-769-2222 Fax: 401-769-4555 | |
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North Smithfield Urgent Care,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 594 Great Rd, Suite 103, North Smithfield, RI 02896 Phone: 401-768-3700 Fax: 401-768-3703 |