Organization
EAST BAY ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
109 CLOCK TOWER SQUARE, PORTSMOUTH, RI 02871
(401) 421-8800
(401) 278-4070
Mailing address
33 STANIFORD ST, PROVIDENCE, RI 02905-3105
(401) 421-8800
(401) 278-4070
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/22/2025
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