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Organization
PROVIDENCE MEDICAL HEALTHCARE CENTER
Active
Organization
PROVIDENCE MEDICAL HEALTHCARE CENTER
Active
Other names
Medicus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SILVIO VITELLI M.D. (TREASURER)
(401) 521-3270
Entity
Organization
Contact information
Practice address
80 DEAN ST, PROVIDENCE, RI 02903-1504
(401) 521-3270
(401) 521-6532
Mailing address
80 DEAN ST, PROVIDENCE, RI 02903-1504
(401) 521-3270
(401) 521-6532
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PM24729
—
RI
Enumeration date
01/19/2007
Last updated
10/29/2007
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