Organization
ROGER WILLIAMS MED. CENTER
Active
Other names
vetereans administration hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BONATATI MD (MED. DIRECTOR)
(401) 397-9931
Entity
Organization
Contact information
Practice address
616 LEWIS FARM RD, CPU SUMMIT GENERAL STORE, RI 02827-2108
(401) 397-9931
Mailing address
616 LEWIS FARM RD, CPU SUMMIT GENERAL STORE, RI 02827-2108
(401) 397-9931
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD018978
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345678999999999999
—
RI
Enumeration date
08/31/2006
Last updated
08/22/2020
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