Mary Jane Pizza is a Clinical in Providence, Rhode Island. Mary Jane Pizza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jane Pizza is 1386607893. The last update date is 2023-11-13.
Mary Jane Pizza's current location address is 2 Dudley St Ste 375moc, Providence, Rhode Island. You can contact this provider via phone number 4016068530 and fax number 4016068549. The mailing address for Mary Jane Pizza is 2 Dudley St Ste 375moc, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jane Pizza |
|---|---|
| Address | 2 Dudley St Ste 375moc, Providence, Rhode Island |
| Phone Number | 4016068530 |
| Fax Number | 4016068549 |
| Sole Proprietor | Y |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1386607893 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2023-11-13 |
Provider Mailing Address Detail
| Address | 2 Dudley St Ste 375moc |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29053236 |
| Phone Number | 4016068530 |
| Fax Number | 4016068549 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ISW01284 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Jane Pizza?
The Mary Jane Pizza has been issued the NPI (National Provider Identifier) 1386607893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary Jane Pizza is geographically located?
The Mary Jane Pizza is physically situated at the following location: 2 Dudley St Ste 375Moc, Providence, RI, 29053236.
What is the Mary Jane Pizza's specialty and taxonomy code?
The Mary Jane Pizza's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1386607893 assigned to Mary Jane Pizza?
The Mary Jane Pizza was issued its 1386607893 on 2006-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Jane Pizza last refreshed?
The information related to the Mary Jane Pizza, including its address, specialty, and other relevant details, was last updated on 2023-11-13.