Organization
NEW UNIVERSITY MEDICAL GROUP LLC
Active
Organization
NEW UNIVERSITY MEDICAL GROUP LLC
Active
Other names
Prospect CharterCare RWMC Sole MB
Organization subpart
No
Provider details
NPI number
Authorized official
ADOZINDA KANE (VP, CFO)
(401) 456-2525
Entity
Organization
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-2525
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, PROVIDENCE, RI 02908-4728
(401) 456-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
12/05/2014
Last updated
08/15/2016
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