Organization
COVENTRY PRIMARY CARE ASSOCIATES, INC.
Active
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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