Wickford Family Medicine LLC
NPI #1104124734 in North Kingstown, Rhode Island
Provider Information
- NPI Number
- 1104124734
- Entity Type
- Organization
- Organization Name
- Wickford Family Medicine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 7, 2011
- Last Updated
- Mar 7, 2011
Practice Location
- Address
- 320 PHILLIPS ST
- Address 2
- SUITE 204
- City
- North Kingstown
- State
- Rhode Island
- ZIP Code
- 02852-5149
- Phone
- (401) 450-2111
Authorized Official
- Name
- JOHN MACHATA, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (401) 450-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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