Organization
PTW AND CVD ENTERPRISES LLC
Active
Other names
RI Chiropractic Health & Rehab Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP T WONG D.C. (CHIROPRACTIC PHYSICIAN)
(401) 569-9488
Entity
Organization
Contact information
Practice address
544A CHALKSTONE AVE, PROVIDENCE, RI 02908-3618
(401) 569-9488
(401) 808-6388
Mailing address
544A CHALKSTONE AVE, PROVIDENCE, RI 02908-3618
(401) 569-9488
(401) 808-6388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DCP00500
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31387
BCBSRI
RI
01
—
670397
UNITED HEALTH CARE
RI
Enumeration date
10/17/2007
Last updated
10/17/2007
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