University Medical Group, Inc.

NPI 1174662738 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1174662738
Enumeration Date 02/06/2007
Last Updated 04/08/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KENNY KENNY
Position DIRECTOR OF OPERATIONS
Phone (401) 464-8109
Fax
Practice Location
1500 PONTIAC AVE
CRANSTON RI, 02920-4406, US
Phone (401) 464-8109
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 MD08630
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According to our database, University Medical Group, Inc. NPI is 1174662738, taxonomy code is 332900000X and license number is MD08630, license state is located at Rhode Island. University Medical Group, Inc. physically located at 1500 Pontiac Ave, Cranston RI, 02920-4406. NPI Number 1033115704 has the healthcare provider type.

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1174662738 NPI number is provided on an as is basis without warranty of any kind. 1174662738 is maintained by the National Plan & Provider Enumeration System. The contents of University Medical Group, Inc. are for informational purposes only.