Organization
UNIVERSITY INTERNAL MEDICINE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN WHALEN (CLAIMS & CREDENTIALING SPECIALIST)
(401) 725-4700
Entity
Organization
Contact information
Practice address
407 EAST AVE STE 110, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Mailing address
407 EAST AVE STE 110, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669507133
UNITEDHEALTHCARE
RI
05
—
UI50623
—
RI
Enumeration date
02/23/2007
Last updated
11/14/2025
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