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Organization

RADIOSURGERY CENTER OF RHODE ISLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization

Contact information

Practice address
593 EDDY ST, PHYSICIANS' OFFICE BUILDING, SUITE 130, PROVIDENCE, RI 02903-4923
(401) 444-5447
(401) 444-4240
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DP5027
RAILROAD MEDICARE
RI
05
RA78342
RI
Enumeration date
07/03/2008
Last updated
12/10/2025
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