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Organization

R.I. COLORECTAL CLINIC 1, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAOMI SCHECHTER (OFFICE MANAGER)
(401) 725-4888
Entity
Organization

Contact information

Practice address
334 EAST AVE, PAWTUCKET, RI 02860-3821
(401) 725-4888
(401) 725-3336
Mailing address
334 EAST AVENUE, PAWTUCKET, RI 02860
(401) 725-4888
(401) 725-3336

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
03/05/2007
Last updated
05/29/2012
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