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Organization

LANDMARK PHYSICIAN ASSOCIATES

Active
Parent organization
PRIME HEALTHCARE SERVICES LANDMARK LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRIME HEALTHCARE SERVICES LANDMARK LLC
Authorized official
MR. RICHARD CHAREST (CEO)
(401) 769-4100
Entity
Organization

Contact information

Practice address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575
Mailing address
219 CASS AVE, WOONSOCKET, RI 02895-4736
(401) 769-4100
(401) 766-9575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
Primary
208000000X
Pediatrics Physician
208600000X
Surgery Physician

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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