# CHRISTOPHER C WAY MD PROFESSIONAL SERVICE CORPORATION

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

## Provider details

- **NPI number:** 1669658274
- **Authorized official:** CHRISTOPHER CARR WAY (PRESIDENT)
- **Authorized official phone:** (401) 942-0210

## Contact information

- **Practice address:** 1150 RESERVOIR AVE, SUITE 204, CRANSTON, RI 02920-6068
- **Practice address phone:** (401) 942-0210
- **Mailing address:** PO BOX 6300, PROVIDENCE, RI 02940-6300
- **Mailing address phone:** (401) 942-0210
- **Mailing address fax:** (401) 943-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MDD6752 | RI | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 12/29/2015