Organization · Type 2 NPI

The Miriam Hospital

Cardiovascular Disease Physician · Providence, RI

NPI number 1255428504 Active

Practice location

164 Summit Ave, Fain 2
Providence, RI 02906-2853

Fax (401) 793-7877

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

285 other providers at this address

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About NPI 1255428504

The Miriam Hospital's National Provider Identifier is 1255428504, issued on Oct 6, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Providence, RI. The record was last updated on Dec 11, 2025.