Organization
DUDLEY STREET OPERATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ZIENOWICZ M.D. (PARTNER)
(401) 855-5633
Entity
Organization
Contact information
Practice address
10 BRIDGE ST, PROVIDENCE, RI 02903-4362
(401) 855-5633
Mailing address
2 DUDLEY ST, SUITE 465, PROVIDENCE, RI 02905-3236
(401) 855-0605
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PHS00005
RI
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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