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Organization

CITY OF EAST PROVIDENCE

Active
Other names
East Providence Senior Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD BIANCO MD (MEDICAL DIRECTOR)
(401) 435-7800
Entity
Organization

Contact information

Practice address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
(401) 435-7800
(401) 435-7803
Mailing address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
(401) 435-7800
(401) 435-7803

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/20/2016
Last updated
10/27/2016
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