Organization
SOUTHCOAST PHYSICIANS GROUP, INC.
Active
Other names
Family MediCenter
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ZIZZO (DIRECTOR, CBO)
(508) 973-2044
Entity
Organization
Contact information
Practice address
672 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5795
(401) 847-0519
(401) 846-0283
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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