Memorial Hospital

NPI #1386863496 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1386863496
Entity Type: Organization
Organization Name: Memorial Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: THE MEMORIAL HOSPITAL
Primary Specialty: Psychiatry & Neurology - Diagnostic Neuroimaging
Enumeration Date: Apr 25, 2007
Last Updated: Nov 30, 2007

Practice Location

Address: 111 BREWSTER ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-4400
Phone: (401) 729-2000

Authorized Official

Name: MR. FRANCIS R DIETZ
Title: CEO PRESIDENT
Phone: (401) 729-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Psychiatry & Neurology - Diagnostic Neuroimaging — Diagnostic Neuroimaging	2084D0003X	Primary

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