Organization
CAVA HEART & VASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA GAGNON (OFFICE MANAGER)
(401) 223-0223
Entity
Organization
Contact information
Practice address
1 RANDALL SQ, SUITE 307, PROVIDENCE, RI 02904-2709
(401) 723-1210
(401) 723-2410
Mailing address
1 RANDALL SQ, SUITE 307, PROVIDENCE, RI 02904-2709
(401) 723-1210
(401) 723-2410
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD11115
RI
Other
Enumeration date
11/21/2013
Last updated
12/10/2013
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