Prospect Blackstone Valley Surgicare, LLC
NPI #1457898215 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1457898215
- Entity Type
- Organization
- Organization Name
- Prospect Blackstone Valley Surgicare, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 31, 2017
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 1526 ATWOOD AVE
- Address 2
- SUITE 300
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3289
- Phone
- (401) 459-3800
Authorized Official
- Name
- ROBERT ELDERS, JD
- Title
- SECRETARY
- Phone
- (310) 943-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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