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50 Maude St Providence RI 02908-4325 | |
(401) 456-2525 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 50 Maude St, Providence, Rhode Island |
Authorized Official Name and Position | Adozinda Kane (VP, CFO) |
Authorized Official Contact | 4014562525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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825 Chalkstone Ave N. Campus Business Office Providence RI 02908-4728 Ph: (401) 456-2525 | 50 Maude St Providence RI 02908-4325 Ph: (401) 456-2525 |
NPI Number | 1083012173 |
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Provider Enumeration Date | 12/05/2014 |
Last Update Date | 08/15/2016 |
Identifier | Type | State | Issuer |
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1083012173 | NPI | - | NPPES |
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