Organization
RI PLASTIC SURGERY OPERATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN GLASSIE (MANAGER)
(401) 855-0605
Entity
Organization
Contact information
Practice address
10 BRIDGE ST, PROVIDENCE, RI 02903-4362
(401) 453-0120
(401) 453-0198
Mailing address
10 BRIDGE STREET, PROVIDENCE, RI 02903
(401) 453-0120
(401) 453-0198
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000000
RI
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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