Organization
OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN HAMILTON MARTIN MD (OWNER/PHYSICIAN)
(401) 596-6464
Entity
Organization
Contact information
Practice address
77 FRANKLIN STREET, WESTERLY, RI 02891
(401) 596-6464
(401) 348-8660
Mailing address
77 FRANKLIN STREET, WESTERLY, RI 02891
(401) 596-6464
(401) 348-8660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
05/20/2014
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