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Organization
PROVIDENCE SURGICAL CARE GROUP, INCORPORATED
Active
Organization
PROVIDENCE SURGICAL CARE GROUP, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B PATTERSON MD (PRESIDENT)
(401) 454-0690
Entity
Organization
Contact information
Practice address
486 SILVER SPRING ST, PROVIDENCE, RI 02904-1556
(401) 454-0690
(401) 454-4281
Mailing address
486 SILVER SPRING ST, PROVIDENCE, RI 02904-1556
(401) 454-0690
(401) 454-4281
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS32025
—
RI
Enumeration date
10/23/2006
Last updated
12/23/2011
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