Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Other names
ROGER WILLIAMS NUTRITIONIST GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA NEVILLE (MANAGER BUSINESS OFFICE)
(401) 456-2407
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2677
(401) 456-6718
Mailing address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2677
(401) 456-6718
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
HOS00108
RI
Other
Enumeration date
06/23/2006
Last updated
05/01/2014
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