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
DAVID A KIRSHNER (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
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
10/22/2021
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