Organization
CRANSTON EAST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C CHANG MD (MEDICAL DIRECTOR)
(401) 941-3166
Entity
Organization
Contact information
Practice address
934 PARK AVE, CRANSTON, RI 02910-2708
(401) 941-3166
(401) 941-3122
Mailing address
934 PARK AVE, CRANSTON, RI 02910-2708
(401) 941-3166
(401) 941-3122
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
6631
RI
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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