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Organization

SMGRI, PC

Active
Parent organization
STEWARD HEALTHCARE SYSTEMS LLC
Other names
SMG RI
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEWARD HEALTHCARE SYSTEMS LLC
Authorized official
MICHAEL CALLUM MD (CEO)
(617) 419-4702
Entity
Organization

Contact information

Practice address
10 WEYBOSSET ST, PROVIDENCE, RI 02903-2818
(617) 419-4700
Mailing address
500 BOYLSTON ST, BOSTON, MA 02116-3740
(617) 419-4700

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
RI
208600000X
Surgery Physician
Primary
2086X0206X
Surgical Oncology Physician

Other

Enumeration date
03/15/2012
Last updated
05/02/2012
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