Organization
ROGER WILLIAMS HOSPITAL
Active
Other names
ROGER WILLIAMS EKG GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A DIONNE (A/R ANALYST)
(401) 456-2677
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2538
(401) 456-2582
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2538
(401) 456-2582
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
HOS00108
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006149
—
RI
Enumeration date
06/29/2006
Last updated
08/22/2020
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