Organization
ST. JOSEPH HOSPITAL CARDIOLOGY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J FORTUNATO M.D. (MEDICAL DIRECTOR)
(401) 273-1350
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, MARIAN HALL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3456
(401) 456-3773
Mailing address
200 HIGH SERVICE AVE, MARIAN HALL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3456
(401) 456-3773
Taxonomy
Speciality
Code
Description
License number
State
246W00000X
Cardiology Technician
Primary
MD05244
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000123
—
RI
Enumeration date
10/23/2006
Last updated
08/22/2020
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