Organization
NORTHERN RHODE ISLAND MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATHALLA MASHALI (PRESIDENT)
(401) 490-2130
Entity
Organization
Contact information
Practice address
63 EDDIE DOWLING HWY, N SMITHFIELD, RI 02896-7322
(401) 762-5880
Mailing address
42 HEMINGWAY DR, RIVERSIDE, RI 02915-2224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003525
—
RI
Enumeration date
08/01/2008
Last updated
08/01/2008
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