Organization
DAVID CARPENTIER, MD FAMILY HEALTHCARE LTD
Active
Other names
Cranston Medical, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY ALLISON FAIRWEATHER (BUSINESS MANAGER)
(401) 943-4540
Entity
Organization
Contact information
Practice address
495 ATWOOD AVE, CRANSTON, RI 02920-5316
(401) 943-4540
(401) 944-7727
Mailing address
495 ATWOOD AVE, CRANSTON, RI 02920-5316
(401) 943-4540
(401) 944-7727
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019002949
MEDICARE PTAN
RI
01
—
2949#4
BCBS
RI
01
—
405619
BLUE CHIP
RI
01
—
6600011
UNITED HEALTH
RI
Enumeration date
02/28/2006
Last updated
09/15/2015
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