Peris Medical Corporation | |
655 Broad Street Suite 201 Providence RI 02907-1510 | |
(401) 383-6748 | |
Not Available |
Full Name | Peris Medical Corporation |
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Speciality | Internal Medicine |
Location | 655 Broad Street, Providence, Rhode Island |
Authorized Official Name and Position | Emilio Rodriguez-peris (PROPIETOR) |
Authorized Official Contact | 4012266248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peris Medical Corporation 655 Broad Street Suite 201 Providence RI 02907-1510 Ph: (401) 383-6748 | Peris Medical Corporation 655 Broad Street Suite 201 Providence RI 02907-1510 Ph: (401) 383-6748 |
NPI Number | 1295952802 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 04/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295952802 | NPI | - | NPPES |
ER48067 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD10391 (Rhode Island) | Primary |
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