Organization
OCEAN STATE NEUROSURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A GUGLIELMO M.D. (SOLE/PROPRIETOR)
(401) 739-4988
Entity
Organization
Contact information
Practice address
176 TOLL GATE RD, SUITE 203, WARWICK, RI 02886-4482
(401) 739-4988
(401) 739-4739
Mailing address
176 TOLL GATE RD, SUITE 203, WARWICK, RI 02886-4482
(401) 739-4988
(401) 739-4739
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD9112
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004550
—
RI
Enumeration date
10/11/2006
Last updated
01/29/2010
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