Organization
METACOM MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK AMALFITANO MD (TREASURER)
(401) 245-1500
Entity
Organization
Contact information
Practice address
639 METACOM AVE, WARREN, RI 02885
(401) 245-1500
(401) 247-2618
Mailing address
639 METACOM AVE, WARREN, RI 02885
(401) 245-1500
(401) 247-2618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204049
BLUE CHIP GROUP NUMBER
RI
05
—
9002628
—
RI
Enumeration date
09/26/2006
Last updated
03/03/2008
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