Organization
BLACKSTONE MEDICAL CENTER, INC.
Active
Parent organization
STEWARD MEDICAL HOLDINGS, LLC
Other names
Blackstone Medical Center Occupational Medicine Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWARD MEDICAL HOLDINGS, LLC
Authorized official
MR. JAMES RENNA (CFO)
(617) 419-4772
Entity
Organization
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(401) 769-4100
(401) 769-1744
Mailing address
196 CASS AVE, WOONSOCKET, RI 02895-4712
(401) 769-4100
(401) 765-6024
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
00117
RI
363L00000X
Nurse Practitioner
00117
RI
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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