Organization
DAVID CARPENTIER, MD FAMILY HEALTHCARE LTD
Active
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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