Organization
NES RHODE ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGE MARTIAL (DIRECTOR)
(800) 377-8721
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, OUR LADY OF FATIMA HOSPITAL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
(401) 456-3402
Mailing address
PO BOX 198928, ATLANTA, GA 30384-8928
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003682
—
RI
01
—
DC3452
RAILROAD MEDICARE
RI
Enumeration date
11/11/2005
Last updated
04/12/2011
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