Organization
ST. JOSEPH HEALTH SERVICES OF RI
Active
Parent organization
ST JOSEPH HEALTH SERVICES OF RI
Other names
PATHOLOGY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST JOSEPH HEALTH SERVICES OF RI
Authorized official
JOHN FOGARTY CEO (PRESIDENT)
(401) 456-3309
Entity
Organization
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3309
(401) 456-3762
Mailing address
200 HIGH SERVICE AVE, 4TH FL. MARION HALL, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3309
(401) 456-3762
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
HOS00110
RI
282N00000X
General Acute Care Hospital
Primary
HOS00110
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SJ09278
—
RI
Enumeration date
02/20/2007
Last updated
07/09/2010
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