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Organization

BROWN MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA GORDON (RCM DIRECTOR)
(401) 443-5107
Entity
Organization

Contact information

Practice address
235 PLAIN ST STE 201, PROVIDENCE, RI 02905-3242
(401) 861-8830
(401) 351-2378
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(401) 443-4992
(401) 537-7241

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
207RN0300X
Nephrology Physician
213E00000X
Podiatrist
261QM1300X
Multi-Specialty Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/20/2022
Last updated
06/17/2025
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