# R.I. COLORECTAL CLINIC 1, LLC

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

## Provider details

- **NPI number:** 1861521510
- **Authorized official:** NAOMI SCHECHTER (OFFICE MANAGER)
- **Authorized official phone:** (401) 725-4888

## Contact information

- **Practice address:** 334 EAST AVE, PAWTUCKET, RI 02860-3821
- **Practice address phone:** (401) 725-4888
- **Practice address fax:** (401) 725-3336
- **Mailing address:** 334 EAST AVENUE, PAWTUCKET, RI 02860
- **Mailing address phone:** (401) 725-4888
- **Mailing address fax:** (401) 725-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 05/29/2012