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Organization

MEDICINE AND LONG TERM CARE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HAO YUAN HUANG M.D. (M.D./OWNER)
(401) 943-4530
Entity
Organization

Contact information

Practice address
333 BUDLONG RD, CRANSTON, RI 02920-6337
(401) 943-4530
Mailing address
333 BUDLONG RD, CRANSTON, RI 02920-6337
(401) 943-4530

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12044
RI
207R00000X
Internal Medicine Physician
Primary
6040
RI
207R00000X
Internal Medicine Physician
MD03601
RI
207RI0200X
Infectious Disease Physician
12101
RI
363A00000X
Physician Assistant
PA00144
RI
363A00000X
Physician Assistant
PA00420
RI
363AM0700X
Medical Physician Assistant
00220
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9004948
RI
Enumeration date
07/14/2006
Last updated
07/30/2007
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