Organization
RHODE ISLAND FREE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE GHAZAL RN (CHIEF EXECUTIVE OFFICER)
(401) 274-6347
Entity
Organization
Contact information
Practice address
655 BROAD ST, PROVIDENCE, RI 02907-1444
(401) 274-6347
Mailing address
655 BROAD ST, PROVIDENCE, RI 02907-1444
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ACF01570
RI
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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