Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT SOUTHER (RESIDENT PHYSICIAN)
(781) 733-6871
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2033
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LP02922
RI
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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