University Medical Group, Inc.
NPI #1174662738 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1174662738
- Entity Type
- Organization
- Organization Name
- University Medical Group, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Apr 8, 2013
Practice Location
- Address
- 1500 PONTIAC AVE
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-4406
- Phone
- (401) 464-8109
Authorized Official
- Name
- MR. KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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