Organization
NEUROLOGIC CENTER FOR EPILEPSY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREETI GUPTA MD (MEDICAL DIRECTOR)
(401) 781-2400
Entity
Organization
Contact information
Practice address
375 WAMPANOAG TRL STE 405B, EAST PROVIDENCE, RI 02915
(401) 781-2400
(401) 526-9517
Mailing address
375 WAMPANOAG TRL STE 405B, RIVERSIDE, RI 02915-2232
(401) 781-2400
(401) 526-9517
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
06/10/2024
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