Ocean State Primary Care Center Of Westerly, Llc | |
77 Franklin Street Westerly RI 02891 | |
(401) 596-6464 | |
(401) 348-8660 |
Full Name | Ocean State Primary Care Center Of Westerly, Llc |
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Speciality | Family Medicine |
Location | 77 Franklin Street, Westerly, Rhode Island |
Authorized Official Name and Position | Jonathan Hamilton Martin (OWNER/PHYSICIAN) |
Authorized Official Contact | 4015966464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ocean State Primary Care Center Of Westerly, Llc 77 Franklin Street Westerly RI 02891 Ph: (401) 596-6464 | Ocean State Primary Care Center Of Westerly, Llc 77 Franklin Street Westerly RI 02891 Ph: (401) 596-6464 |
NPI Number | 1265857007 |
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Provider Enumeration Date | 03/04/2014 |
Last Update Date | 05/20/2014 |
Identifier | Type | State | Issuer |
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1265857007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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