Organization
EQUINOX02 MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIAN MALLARI (PRESIDENT)
(401) 349-9450
Entity
Organization
Contact information
Practice address
310 GEORGE WASHINGTON HWY, SUITE 200, SMITHFIELD, RI 02917-1957
(401) 349-9450
(401) 349-9452
Mailing address
310 GEORGE WASHINGTON HWY, SUITE 200, SMITHFIELD, RI 02917-1957
(401) 349-9450
(401) 349-9452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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