Genesis Eldercare Physician Services I LLC

NPI #1518102011 in Warwick, Rhode Island

Provider Information

NPI Number
1518102011
Entity Type
Organization
Organization Name
Genesis Eldercare Physician Services I LLC
Primary Specialty
Internal Medicine
Enumeration Date
Dec 11, 2008
Last Updated
Dec 12, 2008

Practice Location

Address
660 COMMONWEALTH AVE
Address 2
KENT REGENCY CENTER
ZIP Code
02886-2707
Phone
(410) 543-1957

Authorized Official

Name
CATHERINE TREGOE
Title
DIRECTOR OF BUSINESS OPERATIONS
Phone
(410) 543-8870

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine

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