Organization
COASTAL MEDICAL PHYSICIANS, INC.
Active
Parent organization
COASTAL MEDICAL PHYSICIANS, INC.
Other names
Coastal Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL MEDICAL PHYSICIANS, INC.
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
10 DAVOL SQ STE 300, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
02/24/2023
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