NPI: 1437115086
Provider Name: WAYLAND SQUARE SURGICARE ACQUISITION LP
Former Legal Business Name: WAYLAND SQUARE SURGICARE, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
Address:
17 SEEKONK ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 435-3311
Get Directions
WAYLAND SQUARE SURGICARE ACQUISITION LP is an ambulatory surgical clinic center in Providence, RI. WAYLAND SQUARE SURGICARE ACQUISITION LP NPI is 1437115086. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Wayland Square Surgicare, Inc..
The provider's business location address is:
17 SEEKONK ST
PROVIDENCE, RI
ZIP 02906-125
Phone: (401) 435-3311
The provider's authorized official is Richard L Sharff .
The authorized official title is Vp/secretary and has the following contact phone number (205) 545-2572.
The enumeration date for this NPI number is 4/23/2006 and was last updated on 6/1/2009.