Roger Williams Medical Center | |
825 Chalkstone Ave Providence RI 02908-4728 | |
(401) 456-2000 | |
Not Available |
Full Name | Roger Williams Medical Center |
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Speciality | Clinic/center |
Location | 825 Chalkstone Ave, Providence, Rhode Island |
Authorized Official Name and Position | Cynthia Boutin (COORDINATOR) |
Authorized Official Contact | 4014562070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roger Williams Medical Center 825 Chalkstone Ave Providence RI 02908-4728 Ph: () - | Roger Williams Medical Center 825 Chalkstone Ave Providence RI 02908-4728 Ph: (401) 456-2000 |
NPI Number | 1205563731 |
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Provider Enumeration Date | 08/04/2022 |
Last Update Date | 08/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205563731 | NPI | - | NPPES |
LP05722 | Other | RI | STATE OF RHODE ISLAND DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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