Organization · Type 2 NPI
The Miriam Hospital
Adult Medicine Physician · Providence, RI
NPI number
1831362813
Active
Practice location
180 Corliss St Ste C
Providence, RI 02904-2602
Fax (401) 793-4639
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other practice locations
- 164 Summit Ave, Providence, RI 02906-2853 · (401) 793-4636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Urology Physician | 208800000X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
3 other providers at this address
About NPI 1831362813
The Miriam Hospital's National Provider Identifier is 1831362813, issued on Apr 10, 2008. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Providence, RI. The record was last updated on Mar 18, 2026.