Coastal Medical, Inc.
NPI #1528265212 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1528265212
- Entity Type
- Organization
- Organization Name
- Coastal Medical, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 450 VETERANS MEMORIAL PKWY
- Address 2
- 404
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914-5300
- Phone
- (401) 435-3400
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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