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Organization

WELLNORTH MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAVID CALCATTI MD (DIRECTOR)
(401) 438-1010
Entity
Organization

Contact information

Practice address
1630 MINERAL SPRING AVE, 2, NORTH PROVIDENCE, RI 02904-4025
(401) 438-1010
Mailing address
1630 MINERAL SPRING AVE, 2, NORTH PROVIDENCE, RI 02904-4043
(401) 438-1010

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP408256
BLUE CHIP
RI
Enumeration date
06/18/2007
Last updated
12/16/2015
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