Organization
NORTHERN R I REHAB MANAGEMENT ASSOCIATES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R CHAREST (PRESIDENT & CEO)
(401) 769-4100
Entity
Organization
Contact information
Practice address
116 EDDIE DOWLING HWY, REHAB HOSPITAL OF RI, N SMITHFIELD, RI 02896-7327
(401) 766-0800
Mailing address
298 ARMISTICE BLVD, PAWTUCKET, RI 02861-2331
(401) 723-5533
(401) 723-3833
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS309
RI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD08700
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004002
BLUE CHIP
—
Enumeration date
02/23/2010
Last updated
01/31/2013
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