Organization
CARDIOLOGY CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA GAGNON (OFFICE MANAGER)
(401) 223-0223
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, SUITE 305, PROVIDENCE, RI 02904-2709
(401) 223-0223
(401) 223-0224
Mailing address
1 RANDALL SQ, SUITE 305, PROVIDENCE, RI 02904-2709
(401) 223-0223
(401) 223-0224
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD06890
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006307
—
RI
Enumeration date
11/21/2013
Last updated
11/21/2013
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