Organization
PARK MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CRAUSMAN MD (CHIEF MEDICAL OFFICER)
(800) 927-0002
Entity
Organization
Contact information
Practice address
251 PARK AVE, CRANSTON, RI 02905-2647
(800) 927-0002
Mailing address
PO BOX 205, MANVILLE, RI 02838-0205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/23/2010
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