Blackstone Medical Center, Inc.

NPI #1033464276 in Woonsocket, Rhode Island

Provider Information

NPI Number
1033464276
Entity Type
Organization
Organization Name
Blackstone Medical Center, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
STEWARD MEDICAL HOLDINGS, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 13, 2012
Last Updated
Jul 30, 2012

Practice Location

Address
115 CASS AVE
ZIP Code
02895-4705
Phone
(401) 769-4100

Authorized Official

Name
MR. JAMES RENNA
Title
CFO
Phone
(617) 419-4772

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist
Psychologist - Prescribing (Medical)Prescribing (Medical)
Psychiatry & Neurology - NeurologyNeurology
Psychiatry & Neurology - PsychiatryPsychiatry
Nurse Practitioner
Internal Medicine

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