Providence Interventional Associates II LLC
NPI #1497220412 in Providence, Rhode Island
Provider Information
- NPI Number
- 1497220412
- Entity Type
- Organization
- Organization Name
- Providence Interventional Associates II LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 5, 2018
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 100 HIGHLAND AVE STE 100
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02906-2740
- Phone
- (401) 277-9729
Authorized Official
- Name
- DR. JONAH LICHT, MD
- Title
- OWNER
- Phone
- (401) 277-9729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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