Polly E. Leonard, D.o., Ltd | |
390 Toll Gate Rd Suite 203 Warwick RI 02886-4326 | |
(401) 732-2031 | |
(401) 732-2035 |
Full Name | Polly E. Leonard, D.o., Ltd |
---|---|
Speciality | Family Medicine |
Location | 390 Toll Gate Rd, Warwick, Rhode Island |
Authorized Official Name and Position | Polly Leonard (OWNER/DOCTOR) |
Authorized Official Contact | 4017322031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Polly E. Leonard, D.o., Ltd 390 Toll Gate Rd Suite 203 Warwick RI 02886-4326 Ph: (401) 732-2031 | Polly E. Leonard, D.o., Ltd 390 Toll Gate Rd Suite 203 Warwick RI 02886-4326 Ph: (401) 732-2031 |
NPI Number | 1972746550 |
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Provider Enumeration Date | 04/13/2009 |
Last Update Date | 04/13/2009 |
Medicare PECOS PAC ID | 5799938346 |
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Medicare Enrollment ID | O20130109000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972746550 | NPI | - | NPPES |
9002762 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO496 (Rhode Island) | Primary |
Provider Name | Polly E Leonard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801893367 PECOS PAC ID: 6800976887 Enrollment ID: I20130109000467 |
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