| Pilgrim Park Physicians | |
|
1243 Post Rd Unit A Warwick RI 02888-3221 | |
| (401) 941-2999 | |
| (401) 941-5830 |
| Full Name | Pilgrim Park Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1243 Post Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Joseph Anthony Grande (PRESIDENT) |
| Authorized Official Contact | 4019412999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilgrim Park Physicians 1243 Post Rd Unit A Warwick RI 02888-3221 Ph: (401) 941-2999 | Pilgrim Park Physicians 1243 Post Rd Unit A Warwick RI 02888-3221 Ph: (401) 941-2999 |
| NPI Number | 1619067386 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 02/26/2010 |
| Medicare PECOS PAC ID | 9234196916 |
|---|---|
| Medicare Enrollment ID | O20041214000823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619067386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joanne Lowney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437156411 PECOS PAC ID: 7113944513 Enrollment ID: I20051025000812 |
| Provider Name | Joseph A Grande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881709616 PECOS PAC ID: 5698857076 Enrollment ID: I20120411000782 |
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