Organization
PEDIATRICS AND PEDIATRIC NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEENA R GUPTA M.D. (OWNER)
(401) 261-5517
Entity
Organization
Contact information
Practice address
1370 CRANSTON ST, CRANSTON, RI 02920-6758
(401) 261-5517
Mailing address
1370 CRANSTON ST, CRANSTON, RI 02920-6758
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11111
RI
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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