Organization · Type 2 NPI

Pai Participant 5 PC

Geriatric Medicine (Internal Medicine) Physician · Coventry, RI

NPI number 1194381947 Active

Practice location

10 Woodland Dr
Coventry, RI 02816-6716

Fax (833) 694-1507

Mailing address

PO Box 639676
Cincinnati, OH 45263-9676

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Internal Medicine) Physician Primary 207RG0300XNone listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

41 other providers at this address

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About NPI 1194381947

Pai Participant 5 PC's National Provider Identifier is 1194381947, issued on May 17, 2019. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Coventry, RI. The record was last updated on Aug 13, 2026.