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Organization

NORTH ROAD PSYCHIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA MARY MAZZA APRN (OWNER)
(401) 447-1777
Entity
Organization

Contact information

Practice address
23 NORTH RD STE A11, PEACE DALE, RI 02879-8108
(401) 447-1777
Mailing address
23 NORTH RD STE A11, PEACE DALE, RI 02879-8108
(401) 447-1777

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/31/2020
Last updated
08/31/2020
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