Organization
PROVIDENCE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ADEEL (ADMINISTRATOR)
(401) 400-4168
Entity
Organization
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 400-4168
(401) 264-8018
Mailing address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 264-8018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
04/12/2017
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