Organization
ROGER WILLIAMS MEDICAL CENTER
Active
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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