Organization
LINCOLN PEDIATRIC ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA S SOWA MD (VICE PRESIDENT OWNER)
(401) 334-4021
Entity
Organization
Contact information
Practice address
6 BLACKSTONE VALLY PLACE, SUITE 306B, LINCOLN, RI 02865
(401) 331-4021
(401) 334-4886
Mailing address
6 BLACKSTONE VALLY PLACE, SUITE 306B, LINCOLN, RI 02865
(401) 331-4021
(401) 334-4886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6923
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003409
—
RI
Enumeration date
11/30/2005
Last updated
08/22/2020
Update your record
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