Organization
JAMES L MAHER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MARAZITI (EXECUTIVE DIRECTOR)
(401) 846-0340
Entity
Organization
Contact information
Practice address
120 HILLSIDE AVENUE, NEWPORT, RI 02840
(401) 846-0340
(401) 847-9459
Mailing address
PO BOX 4390, MIDDLETOWN, RI 02842
(401) 846-0340
(401) 847-9459
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28122
NEIGHBORHOOD HEALTH
RI
01
—
29220-7
BLUE CROSS BLUE SHIELD
RI
01
—
412299
BLUE CROSS BLUE SHIELD
RI
01
—
64-00192
UNITED RITE CARE
RI
Enumeration date
03/09/2007
Last updated
06/04/2014
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