Organization
KENT SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD ST.JEAN MD (PRESIDENT)
(401) 737-4828
Entity
Organization
Contact information
Practice address
227 CENTERVILLE RD, SUITE 2, WARWICK, RI 02886-4394
(401) 737-4828
(401) 732-8484
Mailing address
227 CENTERVILLE RD, SUITE 2, WARWICK, RI 02886-4394
(401) 737-4828
(401) 732-8484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
838-7
RI BLUE SHIELD
RI
05
—
KS00507
—
RI
Enumeration date
09/20/2006
Last updated
02/24/2011
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