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Organization
OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
Active
Organization
OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZUBA (GENERAL MANAGER)
(401) 626-2748
Entity
Organization
Contact information
Practice address
450 VETERANS MEMORIAL PKWY UNIT 15B, EAST PROVIDENCE, RI 02914-5300
(401) 434-3350
Mailing address
2130 MENDON RD STE 3-333, CUMBERLAND, RI 02864-3844
(401) 353-1012
(401) 353-6362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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