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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us