| Ocean State Primary Care Center Of East Providence Inc | |
|
450 Veterans Memorial Pkwy Unit 15b East Providence RI 02914-5300 | |
| (401) 434-3350 | |
| Not Available |
| Full Name | Ocean State Primary Care Center Of East Providence Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 450 Veterans Memorial Pkwy Unit 15b, East Providence, Rhode Island |
| Authorized Official Name and Position | Jennifer Zuba (GENERAL MANAGER) |
| Authorized Official Contact | 4016262748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean State Primary Care Center Of East Providence Inc 2130 Mendon Rd Ste 3-333 Cumberland RI 02864-3844 Ph: (401) 353-1012 | Ocean State Primary Care Center Of East Providence Inc 450 Veterans Memorial Pkwy Unit 15b East Providence RI 02914-5300 Ph: (401) 434-3350 |
| NPI Number | 1225543754 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225543754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
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