| Smith Internal Medicine Group Ltd | |
|
100 Highland Ave Suite 203 Providence RI 02906-2740 | |
| (401) 521-2002 | |
| (401) 521-0906 |
| Full Name | Smith Internal Medicine Group Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Highland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Jean F Smith (PRESIDENT CEO) |
| Authorized Official Contact | 4015212002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Internal Medicine Group Ltd 100 Highland Ave Suite 203 Providence RI 02906-2740 Ph: (401) 521-2002 | Smith Internal Medicine Group Ltd 100 Highland Ave Suite 203 Providence RI 02906-2740 Ph: (401) 521-2002 |
| NPI Number | 1245261817 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245261817 | NPI | - | NPPES |
| 9004024 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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