Organization
INFECTIOUS DISEASES ASSOCIATES OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN G FORT MD, MPH (CEO)
(401) 766-3428
Entity
Organization
Contact information
Practice address
115 CASS AVENUE - 3RD FLOOR, C/O LANDMARK MEDICAL, WOONSOCKET, RI 02895
(401) 769-4100
(401) 767-1633
Mailing address
69 HIGHLAND AVE, WARWICK, RI 02886-9418
(401) 766-3428
(401) 767-1633
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
06195
RI
207RI0200X
Infectious Disease Physician
Primary
MD07281
RI
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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