Organization
CITY OF EAST PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AURORA DUARTE B.A. (MEDICAID COORDINATOR)
(401) 433-4216
Entity
Organization
Contact information
Practice address
80 BURNSIDE AVE, RIVERSIDE, RI 02915-3223
(401) 433-6216
(401) 433-4666
Mailing address
80 BURNSIDE AVE, RIVERSIDE, RI 02915-3223
(401) 433-6216
(401) 433-4666
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EP00131
—
RI
Enumeration date
12/01/2006
Last updated
07/21/2022
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