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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