Organization
EDGEWOOD MEDICAL LLC
Active
Organization
EDGEWOOD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R POLANCO MD (MEDICAL DIRECTOR)
(401) 275-0700
Entity
Organization
Contact information
Practice address
251 PARK AVE, 2ND FLOOR, CRANSTON, RI 02905-2647
(401) 275-0700
(401) 275-0775
Mailing address
251 PARK AVE, 2ND FLOOR, CRANSTON, RI 02905-2647
(401) 275-0700
(401) 275-0775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10514
RI
Other
Enumeration date
07/23/2007
Last updated
09/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up