Organization
OCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ZUBA (GENERAL MANAGER)
(401) 626-2748
Entity
Organization
Contact information
Practice address
450 VETERANS MEMORIAL PKWY UNIT 15B, EAST PROVIDENCE, RI 02914-5300
(401) 434-3350
Mailing address
2130 MENDON RD STE 3-333, CUMBERLAND, RI 02864-3844
(401) 353-1012
(401) 353-6362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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