Organization
WAMPANOAG MEDICAL CLINIC & TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITO A ABANILLA M.D. (PRESIDENT)
(401) 438-6620
Entity
Organization
Contact information
Practice address
1970 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-1718
(401) 438-6620
(401) 438-6621
Mailing address
1970 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-1718
(401) 438-6620
(401) 438-6621
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD4452
RI
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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