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Organization

OCEAN STATE URGENT CARE CENTER OF NORTH PROVIDENCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEN ZUBA (GENERAL MANAGER)
(401) 235-7310
Entity
Organization

Contact information

Practice address
1637 MINERAL SPRING AVE STE 115, NORTH PROVIDENCE, RI 02904-4042
(401) 353-1012
(401) 353-6362
Mailing address
2130 MENDON RD STE 3-333, CUMBERLAND, RI 02864-3844

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/31/2017
Last updated
06/08/2017
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