Organization
NEUFRONTIERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ALEXANDER MARGOLIS M.D. (OWNER/PHYSICIAN)
(917) 669-2645
Entity
Organization
Contact information
Practice address
345 BLACKSTONE BLVD, CENTER HOUSE ROOM 246, PROVIDENCE, RI 02906-4800
(401) 455-6506
(401) 455-6309
Mailing address
22 LEICESTER WAY, PAWTUCKET, RI 02860-5610
(917) 669-2645
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
MD14779
RI
2084N0400X
Neurology Physician
MD14779
RI
2084P0800X
Psychiatry Physician
MD14779
RI
Other
Enumeration date
05/10/2016
Last updated
05/15/2016
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