Organization
FAMILY DOCTOR PLUS RI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J WEAVER MD (MEDICAL DIRECTOR)
(401) 304-9111
Entity
Organization
Contact information
Practice address
553 KINGSTOWN RD, WAKEFIELD, RI 02879-3600
(401) 304-9111
(401) 284-0625
Mailing address
553 KINGSTOWN RD, WAKEFIELD, RI 02879-3600
(401) 304-9111
(401) 284-0625
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
01/28/2016
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