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Organization
UNIVERSITY INTERNAL MEDICINE
Active
Organization
UNIVERSITY INTERNAL MEDICINE
Active
Other names
University Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(536) 614-6073
Entity
Organization
Contact information
Practice address
5626 OBERLIN DR STE 110, SAN DIEGO, CA 92121-1705
(858) 657-7000
Mailing address
407 EAST AVE STE 120, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
12/26/2013
Last updated
07/24/2024
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