| Mineral Spring Primary Care Associates, Llc | |
|
1637 Mineral Spring Ave Suite 111 North Providence RI 02904-4042 | |
| (401) 353-5224 | |
| (401) 353-5162 |
| Full Name | Mineral Spring Primary Care Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1637 Mineral Spring Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Cathy L Poisson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4013531012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral Spring Primary Care Associates, Llc 1637 Mineral Spring Ave Suite 111 North Providence RI 02904-4042 Ph: (401) 353-5224 | Mineral Spring Primary Care Associates, Llc 1637 Mineral Spring Ave Suite 111 North Providence RI 02904-4042 Ph: (401) 353-5224 |
| NPI Number | 1801848908 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801848908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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