| |
10 Orms St Providence RI 02904-2228 | |
(401) 351-8683 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 10 Orms St, Providence, Rhode Island |
Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
Authorized Official Contact | 6365342300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | 10 Orms St Providence RI 02904-2228 Ph: (401) 351-8683 |
NPI Number | 1265646012 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1265646012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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