Organization
THE MIRIAM HOSPITAL
Active
Other names
The Miriam Hospital Department of Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K MARKELL (E VP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
164 SUMMIT AVE, GILSTEIN SUITE/BAXT BLDG 1ST FLOOR, PROVIDENCE, RI 02906-2853
(401) 793-4612
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 793-4612
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
12/11/2025
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