Organization
UNIVERSITY INTERNAL MEDICINE
Active
Other names
University Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(536) 614-6073
Entity
Organization
Contact information
Practice address
5626 OBERLIN DR STE 110, SAN DIEGO, CA 92121-1705
(858) 657-7000
Mailing address
407 EAST AVE STE 120, PAWTUCKET, RI 02860-5299
(401) 725-4700
(401) 725-4740
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
07/24/2024
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