East Side Surgical Group Inc

NPI 1043496359 - Specialist - 174400000X

NPI Details
NPI 1043496359
Enumeration Date 01/16/2008
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STEVEN I STEVEN
Position PRESIDENT
Phone (401) 312-0023
Fax (401) 312-0006
Practice Location
407 EAST AVENUE
SUITE 200
PAWTUCKET RI, 02860-5299, US
Phone (401) 312-0023
Fax (401) 312-0006
Business Location
407 EAST AVENUE
SUITE 200
PAWTUCKET RI, 02860-5299, US
Phone (401) 312-0023
Fax (401) 312-0006
Toxanomy
Taxonomy Code 174400000X
License State Rhode Island
License Number RI5011
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According to our database, East Side Surgical Group Inc NPI is 1043496359, taxonomy code is 174400000X and license number is RI5011, license state is located at Rhode Island. East Side Surgical Group Inc physically located at 407 East Avenue, Pawtucket RI, 02860-5299. NPI Number 1033115704 has the healthcare provider type.

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1043496359 NPI number is provided on an as is basis without warranty of any kind. 1043496359 is maintained by the National Plan & Provider Enumeration System. The contents of East Side Surgical Group Inc are for informational purposes only.