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Organization
LANDMARK PHYSICIAN ASSOCIATES
Active
Organization
LANDMARK PHYSICIAN ASSOCIATES
Active
Parent organization
PRIME HEALTHCARE SERVICES LANDMARK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES LANDMARK LLC
Authorized official
MR. RICHARD CHAREST (CEO)
(401) 769-4100
Entity
Organization
Contact information
Practice address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575
Mailing address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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