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Organization
BLACKSTONE VALLEY OB GYN INC
Active
Organization
BLACKSTONE VALLEY OB GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN J PENKALA MD (PHYSICIAN OWNER)
(401) 334-2229
Entity
Organization
Contact information
Practice address
6 BLACKSTONE VALLEY PL, SUITE 501, LINCOLN, RI 02865-1179
(401) 334-2229
(401) 333-2454
Mailing address
6 BLACKSTONE VALLEY PL, SUITE 501, LINCOLN, RI 02865-1179
(401) 334-2229
(401) 333-2454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/28/2009
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