Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Other names
ROGER WILLIAMS PHYSICIAN ASSISTANT GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BELCHER (PREDIDENT, CEO)
(401) 456-2000
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-6718
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, PROVIDENCE, RI 02908-4728
(401) 456-2000
(401) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9002981
—
RI
Enumeration date
07/20/2006
Last updated
12/18/2013
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