St. Joseph Health Services of Ri

NPI #1134264062 in Providence, Rhode Island

Provider Information

NPI Number
1134264062
Entity Type
Organization
Organization Name
St. Joseph Health Services of Ri
Subpart
Yes (part of a larger organization)
Parent Organization
ST JOSEPH HEALTH SERVICES OF RI
Primary Specialty
Internal Medicine
Enumeration Date
Feb 20, 2007
Last Updated
Jan 25, 2013

Practice Location

Address
21 PEACE ST
ZIP Code
02907-1510
Phone
(401) 456-4325

Authorized Official

Name
MICHAEL CONKLIN, CFO
Title
SNR. VISE PRESIDENT
Phone
(401) 456-2525

Specialties & Taxonomy Codes

Specialty
Nutritionist - Nutrition, EducationNutrition, Education
Internal Medicine

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