# 325 QUAKER LANE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437636842
- **Authorized official:** WEBER SHILL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (401) 443-4150

## Contact information

- **Practice address:** 325 QUAKER LN, WEST WARWICK, RI 02893-2122
- **Practice address phone:** (401) 443-4150
- **Mailing address:** PO BOX 1119, PROVIDENCE, RI 02901-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2018
- **Last updated:** 07/27/2018