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Organization

AUDIOLOGY REHABILITATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD HEALEY AU.D. (PRESIDENT)
(401) 461-3965
Entity
Organization

Contact information

Practice address
200 TOLL GATE RD, SUITE 203, WARWICK, RI 02886-4440
(401) 461-3965
Mailing address
38 STRATHMORE RD, CRANSTON, RI 02905-3723
(401) 461-3965

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
063
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2420-2
BLUE CROSS BLUE SHIELD
RI
01
402407
BLUE CHIP-RI
RI
01
45-00028
UNITED HEALTH CARE
RI
05
AR28549
RI
Enumeration date
04/02/2007
Last updated
08/22/2020
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