is a Nephrology in Riverside, Rhode Island. practices all healthcare services and medical treatments related to Nephrology. The NPI Number for is 1396797551. The last update date is .
's current location address is 375 Wampanoag Trl, Riverside, Rhode Island. You can contact this provider via phone number 4016494060 and fax number 4016494061. The mailing address for is 375 Wampanoag Trl, Riverside, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 375 Wampanoag Trl, Riverside, Rhode Island |
| Phone Number | 4016494060 |
| Fax Number | 4016494061 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396797551 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 375 Wampanoag Trl |
|---|---|
| City | Riverside |
| State | Rhode Island (RI) |
| Post Code | 291522320 |
| Phone Number | 4016494060 |
| Fax Number | 4016494061 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | MD04807 |
|
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6173721 | MA | -- | |
| 9001946 | RI | -- | |
| 390006588 | RI | RAILROAD MEDICARE |
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