Organization · Type 2 NPI
Cranston East Medical Clinic
Adult Medicine Physician · Cranston, RI
NPI number
1396977823
Active
Practice location
934 Park Ave
Cranston, RI 02910-2708
Fax (401) 941-3122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 6631 (RI) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1396977823
Cranston East Medical Clinic's National Provider Identifier is 1396977823, issued on Aug 17, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Cranston, RI. The record was last updated on Aug 17, 2009.