Ocean State Medical, LLC
NPI #1386787232 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1386787232
- Entity Type
- Organization
- Organization Name
- Ocean State Medical, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX,INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 1539 ATWOOD AVE
- Address 2
- SUITE 101
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3262
- Phone
- (401) 272-3410
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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