Organization
MEDICAL ASSOCIATES OF RI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DELUCA (REVENUE CYCLE MANAGER)
(401) 253-8900
Entity
Organization
Contact information
Practice address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 253-3131
Mailing address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 253-8900
(401) 253-3131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
RI
207R00000X
Internal Medicine Physician
Primary
—
RI
208000000X
Pediatrics Physician
—
RI
213E00000X
Podiatrist
—
RI
332B00000X
Durable Medical Equipment & Medical Supplies
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019001066
MEDICARE GRP PTAN
RI
05
—
MA01678
—
RI
Enumeration date
08/12/2005
Last updated
08/18/2025
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