Organization
PARK PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK MANUEL QUILES MD (MD)
(401) 274-6575
Entity
Organization
Contact information
Practice address
801 PARK AVE, CRANSTON, RI 02910-2036
(401) 274-6575
(401) 273-2597
Mailing address
801 PARK AVE, CRANSTON, RI 02910-2036
(401) 274-6575
(401) 273-2597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11641
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30943
NHPRI
—
Enumeration date
11/02/2005
Last updated
08/22/2020
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