Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2022-03-16
- Last updated
- 2023-03-17
Licenses
The registry row did not include a license.
Location
- Practice location
- 1524 ATWOOD AVE STE 114
- City
- JOHNSTON RI
- Postal code
- 029193228
- Phone
- 401-351-9495
Organization contact
- Name
- VIRGINIA SOLOMON
- Title
- Manager
- Phone
- 4019351204
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.