Organization
SOUTHERN NEW ENGLAND RETINA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDALENA G KRZYSTOLIK M.D. (PRESIDENT)
(401) 453-4600
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, SUITE 203, PROVIDENCE, RI 02904-2709
(401) 453-4600
(401) 453-0077
Mailing address
1 RANDALL SQ, SUITE 203, PROVIDENCE, RI 02904-2709
(401) 453-4600
(401) 453-0077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624129
TUFTS HEALTH CARE
RI
01
—
7246790
AETNA
RI
05
—
9004676
—
RI
05
—
9762591
—
MA
01
—
M19151
BCBS
MA
Enumeration date
05/03/2006
Last updated
07/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up