Organization
VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZHEN-MING MATTHEW FENG RN (REGISTERED NURSE)
(401) 378-4801
Entity
Organization
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
409 HOPE ST, PROVIDENCE, RI 02906-1634
(401) 378-4801
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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