Organization
COVENTRY PRIMARY CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH MANOWN M.D. (PRESIDENT)
(401) 821-6981
Entity
Organization
Contact information
Practice address
1620 NOOSENECK HILL RD, COVENTRY, RI 02816-6705
(401) 821-6981
(401) 821-1352
Mailing address
1620 NOOSENECK HILL RD, COVENTRY, RI 02816-6705
(401) 821-6981
(401) 821-1352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP46184
—
RI
Enumeration date
01/31/2007
Last updated
10/06/2015
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