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Organization
ST JOSEPH HEALTH SERVICES OF RHODE ISLAND
Active
Organization
ST JOSEPH HEALTH SERVICES OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FOGERTY (PRESIDENT - CEO)
(401) 456-3309
Entity
Organization
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-3309
(401) 456-3762
Mailing address
200 HIGH SERVICE AVE, 4TH FL MARION HALL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3309
(401) 456-3762
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
HOS00110
RI
171R00000X
Interpreter
HOS00110
RI
207Q00000X
Family Medicine Physician
Primary
HOS00110
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
HOS001100
RI
207V00000X
Obstetrics & Gynecology Physician
HOS00110
RI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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