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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