Organization · Type 2 NPI

Prospect Chartercare Rwmc, LLC

Addiction Medicine (Internal Medicine) Physician · Providence, RI

NPI number 1760977136 Active

Practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Call (401) 456-2000 Map

Fax (401) 456-2029

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401XNone listed

Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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About NPI 1760977136

Prospect Chartercare Rwmc, LLC's National Provider Identifier is 1760977136, issued on Jun 27, 2018. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Providence, RI. The record was last updated on Jan 11, 2021.