Organization
ADVOGENEX INC
Active
Organization
ADVOGENEX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T WHITE PMHCNS-BC (CEO)
(401) 615-8775
Entity
Organization
Contact information
Practice address
247 OAKLAWN AVE, CRANSTON, RI 02920-3822
(401) 615-8775
(401) 615-8776
Mailing address
247 OAKLAWN AVE, CRANSTON, RI 02920-3822
(401) 615-8775
(401) 615-8776
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/05/2014
Last updated
09/16/2020
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