Organization
PERIS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO RODRIGUEZ-PERIS M.D. (PROPIETOR)
(401) 226-6248
Entity
Organization
Contact information
Practice address
655 BROAD STREET, SUITE 201, PROVIDENCE, RI 02907-1510
(401) 383-6748
Mailing address
655 BROAD STREET, SUITE 201, PROVIDENCE, RI 02907-1510
(401) 383-6748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10391
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ER48067
—
RI
Enumeration date
04/18/2007
Last updated
04/01/2011
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