Organization
ROGER WILLIAMS MEDICAL CENTER
Active
Other names
Roger Williams Surgical Oncology Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H. BELCHER (PRESIDENT, CEO)
(401) 456-2025
Entity
Organization
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
825 CHALKSTONE AVE, N. CAMPUS BUSINESS OFFICE, ATTN: R. SOARES, PROVIDENCE, RI 02908-4728
(401) 456-2525
(401) 456-6742
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
HOS00108
RI
2086X0206X
Surgical Oncology Physician
Primary
HOD00108
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOS00108
HOSPITAL LICENSE NUMBER
RI
05
—
RO91282
—
RI
Enumeration date
11/01/2012
Last updated
12/18/2013
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