325 Quaker Lane LLC

NPI #1437636842 in West Warwick, Rhode Island

Provider Information

NPI Number: 1437636842
Entity Type: Organization
Organization Name: 325 Quaker Lane LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 27, 2018
Last Updated: Jul 27, 2018

Practice Location

Address: 325 QUAKER LN
City: West Warwick
State: Rhode Island
ZIP Code: 02893-2122
Phone: (401) 443-4150

Authorized Official

Name: WEBER SHILL
Title: CHIEF EXECUTIVE OFFICER
Phone: (401) 443-4150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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