Organization
MPCH
Active
Parent organization
MHM HEALTH PROFESSIONAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHM HEALTH PROFESSIONAL INC
Authorized official
THOMAS GROBLEWSKI DO (STATEWIDE MEDICAL DIRECTOR)
(781) 706-1052
Entity
Organization
Contact information
Practice address
149 POMONA AVE, PROVIDENCE, RI 02908-5123
(978) 425-4341
Mailing address
149 POMONA AVE, PROVIDENCE, RI 02908-5123
(978) 425-4341
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
RN2269378
MA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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