Organization
UNIVERSITY PEDIATRICS, INC
Active
Other names
Children's Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E EDEN MD (OWNER)
(401) 633-1100
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVE, SUITE 201, PROVIDENCE, RI 02906-2740
(401) 633-1100
(401) 633-0047
Mailing address
100 HIGHLAND AVE, SUITE 201, PROVIDENCE, RI 02906-2740
(401) 633-1100
(401) 633-0047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UP29391
—
RI
Enumeration date
08/04/2006
Last updated
03/27/2014
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