Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital Pathology Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS R DIETZ (CEO PRESIDENT)
(401) 729-2000
Entity
Organization
Contact information
Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2000
Mailing address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006182
—
RI
Enumeration date
04/26/2007
Last updated
11/30/2007
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