Organization
RI DEPARTMENF OF CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. POSHKUS M.D. (MEDICAL PROGRAM DIRECTOR)
(401) 462-1115
Entity
Organization
Contact information
Practice address
39 HOWARD AVE, CRANSTON, RI 02920-3001
(401) 462-2268
(401) 462-2625
Mailing address
147 SEASCAPE AVE, MIDDLETOWN, RI 02842-5852
(401) 846-9628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00221
RI
Other
Enumeration date
10/15/2006
Last updated
07/21/2022
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