BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE INC NPI 1659338655

NPI Information

BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE, INC is a primary care clinic center in Woonsocket, RI. BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE, INC NPI is 1659338655. The provider is registered as an organization entity type.

The provider's business location address is:

191 SOCIAL ST
SUITE 840
WOONSOCKET, RI
ZIP 02895-240
Phone: (401) 762-2535
Fax: (401) 762-2858

The provider's authorized official is Greigstone Montgomery Yearwood .
The authorized official title is President/physician and has the following contact phone number (401) 762-2535.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/1/2007.

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:

Other Identifiers

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

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