Organization
BLACKSTONE MEDICAL CENTER, INC.
Active
Organization
BLACKSTONE MEDICAL CENTER, INC.
Active
Parent organization
STEWARD MEDICAL HOLDINGS, LLC
Other names
Landmark Medical Center, Inc. - Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWARD MEDICAL HOLDINGS, LLC
Authorized official
MR. JAMES RENNA (CFO)
(617) 419-4772
Entity
Organization
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Mailing address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
00117
RI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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