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WOODRIDGE MEDICAL ASSOCIATES NPI 1285748871


NPI Information

NPI: 1285748871
Provider Name: WOODRIDGE MEDICAL ASSOCIATES
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
351 BUDLONG RD
CRANSTON, RI
ZIP 02920
Phone: (401) 943-1860
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WOODRIDGE MEDICAL ASSOCIATES is a medical genetics phd medical genetics in Cranston, RI. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. WOODRIDGE MEDICAL ASSOCIATES NPI is 1285748871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

351 BUDLONG RD
CRANSTON, RI
ZIP 02920-001
Phone: (401) 943-1860
Fax: (401) 943-8952

The provider's authorized official is Betty Jean Potenza .
The authorized official title is Office Manager and has the following contact phone number (401) 943-1860.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1170100000XMedical Genetics, Ph.D. Medical Genetics80110112683RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000049MEDICAIDRHODE ISLAND
29000168MEDICAIDRHODE ISLAND
39020788MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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