Prospect Chartercare Sjhsri, LLC
NPI #1578988572 in North Providence, Rhode Island
Provider Information
- NPI Number
- 1578988572
- Entity Type
- Organization
- Organization Name
- Prospect Chartercare Sjhsri, LLC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 200 HIGH SERVICE AVE
- City
- North Providence
- State
- Rhode Island
- ZIP Code
- 02904-5113
- Phone
- (401) 456-3000
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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