Organization
MIRIAM CARDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH S. KORR M.D. (MEDICAL DIRECTOR)
(401) 793-7191
Entity
Organization
Contact information
Practice address
208 COLLYER STREET, SUITE 100, PROVIDENCE, RI 02904
(401) 793-7191
(401) 793-7200
Mailing address
208 COLLYER STREET, SUITE 100, PROVIDENCE, RI 02904
(401) 793-7191
(401) 793-7200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD5815
RI
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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