Organization
SOUTHERN RHODE ISLAND PULMONARY AND CRITICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR BASH MD (CEO)
(401) 206-6487
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
196 OLD RIVER RD, #501, LINCOLN, RI 02865-1119
(401) 206-6487
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD11727
RI
207RP1001X
Pulmonary Disease Physician
Primary
MD11727
RI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD11727
RI
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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