| Prospect Chartercare Rwmc Sole Mb | |
|
50 Maude St Providence RI 02908-4325 | |
| (401) 456-2525 | |
| Not Available |
| Full Name | Prospect Chartercare Rwmc Sole Mb |
|---|---|
| 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 |
|---|---|
| Prospect Chartercare Rwmc Sole Mb 825 Chalkstone Ave N. Campus Business Office Providence RI 02908-4728 Ph: (401) 456-2525 | Prospect Chartercare Rwmc Sole Mb 50 Maude St Providence RI 02908-4325 Ph: (401) 456-2525 |
| NPI Number | 1083012173 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083012173 | NPI | - | NPPES |
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