Organization
NORTHERN RI INTERNAL MEDICINE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEEV K GUPTA MD (PRESIDENT)
(401) 305-5515
Entity
Organization
Contact information
Practice address
2138 MENDON ROAD, SUITE 203, CUMBERLAND, RI 02864-3805
(401) 305-5515
Mailing address
2138 MENDON ROAD, SUITE 203, CUMBERLAND, RI 02864-3805
(401) 305-5515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08729
RI
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NR68925
—
RI
Enumeration date
09/20/2006
Last updated
06/11/2015
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