Organization
NEWPORT NEUROLOGIC AND ELECTRODIAGNOSTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE A MEDEIROS M.D. (OWNER/PRESIDENT)
(401) 619-5740
Entity
Organization
Contact information
Practice address
23 POWEL AVE, NEWPORT, RI 02840-2671
(401) 619-5740
(401) 619-5742
Mailing address
23 POWEL AVE, NEWPORT, RI 02840-2671
(401) 619-5740
(401) 619-5742
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD09160
RI
Other
Enumeration date
02/09/2009
Last updated
08/14/2009
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