Organization
HERITAGE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PETER MISKOVSKY MD (PRESIDENT)
(401) 475-1999
Entity
Organization
Contact information
Practice address
131 BEECHWOOD AVE, PAWTUCKET, RI 02860-5409
(401) 475-1999
(401) 475-6932
Mailing address
131 BEECHWOOD AVE, PAWTUCKET, RI 02860-5409
(401) 475-1999
(401) 475-6932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 10350
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
CT 0816
CT
Other
Enumeration date
11/27/2006
Last updated
10/13/2015
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