Organization
RI DEPARTMENF OF CORRECTIONS
Active
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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