Ocean State Primary Care Center of Coventry, LLC
NPI #1134514276 in Coventry, Rhode Island
Provider Information
- NPI Number
- 1134514276
- Entity Type
- Organization
- Organization Name
- Ocean State Primary Care Center of Coventry, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 6, 2015
- Last Updated
- Oct 11, 2017
Practice Location
- Address
- 982 TIOGUE AVE
- City
- Coventry
- State
- Rhode Island
- ZIP Code
- 02816-6116
- Phone
- (401) 821-6800
Authorized Official
- Name
- JONATHAN H. MARTIN, MD
- Title
- MANAGING PARTNER
- Phone
- (401) 821-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Nurse Practitioner - Adult Health — Adult Health |
| Family Medicine |
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