Organization
MEDICAL & RENAL ASSO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OWEN BERNARD GILMAN MD (PRESIDENT)
(401) 739-7380
Entity
Organization
Contact information
Practice address
250 CENTERVILLE RD, WARWICK EXECUTIVE PARK, WARWICK, RI 02886-4382
(401) 739-7380
(401) 737-7558
Mailing address
250 CENTERVILLE RD, WARWICK EXECUTIVE PARK, WARWICK, RI 02886-4382
(401) 739-7380
(401) 737-7558
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
11/30/2005
Last updated
08/22/2020
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