Organization
WOONSOCKET URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL VALLERA PA (CEO)
(401) 766-2700
Entity
Organization
Contact information
Practice address
25 JOHN A CUMMINGS WAY, 3RD FLOOR, WOONSOCKET, RI 02895
(401) 766-2700
(401) 766-2770
Mailing address
25 JOHN A CUMMINGS WAY, 3RD FLOOR, WOONSOCKET, RI 02895
(401) 766-2700
(401) 766-2770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068622
—
RI
Enumeration date
07/11/2006
Last updated
12/20/2007
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