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Organization

PROVIDENCE VAMC

Active
Other names
Middletown VA CBOC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
1 CORPORATE PL, MIDDLETOWN, RI 02842-6277
(717) 277-6565
Mailing address
PO BOX 94448, CLEVELAND, OH 44101-4448
(717) 277-6565

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
05/31/2006
Last updated
01/10/2023
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