Organization
BLACKSTONE VALLEY CENTER FOR INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREIGSTONE MONTGOMERY YEARWOOD M.D. (PRESIDENT/PHYSICIAN)
(401) 762-2535
Entity
Organization
Contact information
Practice address
191 SOCIAL ST, SUITE 840, WOONSOCKET, RI 02895-3240
(401) 762-2535
(401) 762-2858
Mailing address
191 SOCIAL ST, SUITE 840, WOONSOCKET, RI 02895-3240
(401) 762-2535
(401) 762-2858
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020093
—
RI
Enumeration date
04/26/2006
Last updated
08/01/2007
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