Organization
SOUTHERN NEW ENGLAND WELLNESS LLC
Active
Organization
SOUTHERN NEW ENGLAND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MELLO (AUTHORIZED OFFICIAL)
(508) 998-3041
Entity
Organization
Contact information
Practice address
60 S LAKE RD, TIVERTON, RI 02878-2830
(508) 998-3041
Mailing address
60 S LAKE RD, TIVERTON, RI 02878-2830
(508) 998-3041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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