Organization
LANDMARK PHYSICIAN OFFICE SERVICES
Active
Organization
LANDMARK PHYSICIAN OFFICE SERVICES
Active
Parent organization
LANDMARK MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK MEDICAL CENTER
Authorized official
RICHARD R CHAREST (PRESIDENT & CEO)
(401) 769-4100
Entity
Organization
Contact information
Practice address
219 CASS AVE, WOONSOCKET, RI 02895-4741
(401) 769-4100
(401) 766-9575
Mailing address
PO BOX 845582, BOSTON, MA 02284-5582
(401) 769-4100
(401) 766-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5623
RI
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
MD10296
RI
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005058
—
RI
Enumeration date
07/09/2006
Last updated
05/29/2013
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