Organization
OCEAN STATE HEALTH CARE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOPALA VASUDEVAN PHD (PRESIDENT)
(401) 742-3427
Entity
Organization
Contact information
Practice address
20 CUMBERLAND HILL RD, SUITE 105, WOONSOCKET, RI 02895-4854
(401) 765-2250
(401) 766-6588
Mailing address
20 CUMBERLAND HILL RD, SUITE 105, WOONSOCKET, RI 02895-4854
(401) 765-2250
(401) 766-6588
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OS27487
—
RI
Enumeration date
02/05/2007
Last updated
08/22/2020
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