Green Line Express LLC

NPI #1043989288 in Wakefield, Rhode Island

Provider Information

NPI Number: 1043989288
Entity Type: Organization
Organization Name: Green Line Express LLC
Primary Specialty: Clinic/Center
Enumeration Date: Sep 10, 2021
Last Updated: Sep 10, 2021

Practice Location

Address: 245 MAIN ST
City: Wakefield
State: Rhode Island
ZIP Code: 02879-3527
Phone: (401) 360-3500

Authorized Official

Name: CHRISTINA PROCACCIANTI, PHARMD
Title: FACILITY ADMINISTRATOR
Phone: (401) 360-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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