Organization
CHARTER CARE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
466 PUTNAM PIKE, UNIT # 15, GREENVILLE, RI 02828-3000
(401) 949-2010
Mailing address
466 PUTNAM PIKE, UNIT # 15, GREENVILLE, RI 02828-3000
(401) 949-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00704
RI
Other
Enumeration date
07/16/2015
Last updated
01/11/2021
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