Organization
PROVIDENCE MEDICAL HEALTHCARE CENTER
Active
Other names
Medicus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SILVIO VITELLI M.D. (TREASURER)
(401) 521-3270
Entity
Organization
Contact information
Practice address
80 DEAN ST, PROVIDENCE, RI 02903-1504
(401) 521-3270
(401) 521-6532
Mailing address
80 DEAN ST, PROVIDENCE, RI 02903-1504
(401) 521-3270
(401) 521-6532
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PM24729
—
RI
Enumeration date
01/19/2007
Last updated
10/29/2007
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