University Pediatrics Dba Children's Medical Group

NPI 1902292899 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1902292899
Enumeration Date 04/08/2015
Last Updated 04/08/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CHARLES M CHARLES
Position PEDIATRIC NURSE PRACTIONER
Phone (401) 633-1100
Fax (401) 633-0047
Practice Location
100 HIGHLAND AVE
SUITE 201
PROVIDENCE RI, 02906-2740, US
Phone (401) 633-1100
Fax (401) 633-0047
Business Location
100 HIGHLAND AVE
SUITE 201
PROVIDENCE RI, 02906-2740, US
Phone (401) 633-1100
Fax (401) 633-0047
Toxanomy
Taxonomy Code 363LP0200X
License State Rhode Island
License Number APRN00401
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According to our database, University Pediatrics Dba Children's Medical Group NPI is 1902292899, taxonomy code is 363LP0200X and license number is APRN00401, license state is located at Rhode Island. University Pediatrics Dba Children's Medical Group physically located at 100 Highland Ave, Providence RI, 02906-2740. NPI Number 1033115704 has the healthcare provider type.

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1902292899 NPI number is provided on an as is basis without warranty of any kind. 1902292899 is maintained by the National Plan & Provider Enumeration System. The contents of University Pediatrics Dba Children's Medical Group are for informational purposes only.