Blackstone Valley Center for Internal Medicine,inc.
NPI #1326188095 in Woonsocket, Rhode Island
Provider Information
- NPI Number
- 1326188095
- Entity Type
- Organization
- Organization Name
- Blackstone Valley Center for Internal Medicine,inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 191 SOCIAL ST
- Address 2
- SUITE 840
- City
- Woonsocket
- State
- Rhode Island
- ZIP Code
- 02895-3240
- Phone
- (401) 762-2535
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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