Organization
UNIVERISTY OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STACHURA (ATHLETIC TRAINER)
(860) 316-8870
Entity
Organization
Contact information
Practice address
45 UPPER COLLEGE RD, KINGSTON, RI 02881-2003
(401) 874-2051
Mailing address
123 PHEASANT DR, MIDDLETOWN, CT 06457-7108
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2255A2300X
RI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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