Wayland Square Surgicare Acquisition LP
NPI #1437115086 in Providence, Rhode Island
Provider Information
- NPI Number
- 1437115086
- Entity Type
- Organization
- Organization Name
- Wayland Square Surgicare Acquisition LP
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 23, 2006
- Last Updated
- Jun 1, 2009
Practice Location
- Address
- 17 SEEKONK ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-5125
- Phone
- (401) 435-3311
Authorized Official
- Name
- RICHARD L SHARFF JR.
- Title
- VP/SECRETARY
- Phone
- (205) 545-2572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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| Brown Urology, Inc. Part of Brown Urology, Inc. | |
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| Lifespan Physician Group, Inc. Part of Lifespan Physician Group INC |
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