Organization
EAST COAST ELECTRODIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DONATELLI (PRESIDENT)
(401) 499-6772
Entity
Organization
Contact information
Practice address
118 COTTAGE AVE, NORTH PROVIDENCE, RI 02911-3545
(401) 499-6772
Mailing address
118 COTTAGE AVE, NORTH PROVIDENCE, RI 02911-3545
(401) 499-6772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
238278
MA
Other
Enumeration date
04/11/2009
Last updated
04/11/2009
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