Hillside Avenue Family And Community Medicine, Llc

NPI 1447392469 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1447392469
Enumeration Date 02/13/2007
Last Updated 10/17/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (401) 724-6160
Fax
Practice Location
727 EAST AVE
PAWTUCKET RI, 02860-6184, US
Phone (401) 724-6160
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State Rhode Island
License Number MD06978
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According to our database, Hillside Avenue Family And Community Medicine, Llc NPI is 1447392469, taxonomy code is 332900000X and license number is MD06978, license state is located at Rhode Island. Hillside Avenue Family And Community Medicine, Llc physically located at 727 East Ave, Pawtucket RI, 02860-6184. NPI Number 1033115704 has the healthcare provider type.

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1447392469 NPI number is provided on an as is basis without warranty of any kind. 1447392469 is maintained by the National Plan & Provider Enumeration System. The contents of Hillside Avenue Family And Community Medicine, Llc are for informational purposes only.