Organization
HOSPITAL INTERNISTS OF WESTERLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH W DONOVAN MD (MEDICAL DIRECTOR)
(860) 271-4364
Entity
Organization
Contact information
Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(860) 271-4364
(860) 444-5114
Mailing address
25 WELLS ST, WESTERLY, RI 02891-2922
(860) 271-4364
(860) 444-5114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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