Coastal Medical, Inc.

NPI 1073655379 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1073655379
Enumeration Date 02/13/2007
Last Updated 11/07/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position VP OF OPERATIONS
Phone (401) 781-2400
Fax
Practice Location
400 RESERVOIR AVE
PROVIDENCE RI, 02907-3565, US
Phone (401) 781-2400
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone (858) 625-2990
Fax
Toxanomy
Taxonomy Code 332900000X
License State Rhode Island
License Number MD13369
Remove 1073655379 NPI Number
 

According to our database, Coastal Medical, Inc. NPI is 1073655379, taxonomy code is 332900000X and license number is MD13369, license state is located at Rhode Island. Coastal Medical, Inc. physically located at 400 Reservoir Ave, Providence RI, 02907-3565. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073655379 NPI number is provided on an as is basis without warranty of any kind. 1073655379 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Medical, Inc. are for informational purposes only.