Organization
325 QUAKER LANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEBER SHILL (CHIEF EXECUTIVE OFFICER)
(401) 443-4150
Entity
Organization
Contact information
Practice address
325 QUAKER LN, WEST WARWICK, RI 02893-2122
(401) 443-4150
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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