Ri Departmenf of Corrections
NPI #1629168901 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1629168901
- Entity Type
- Organization
- Organization Name
- Ri Departmenf of Corrections
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Oct 15, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 39 HOWARD AVE
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02920-3001
- Phone
- (401) 462-2268
Authorized Official
- Name
- DR. MICHAEL T. POSHKUS, M.D.
- Title
- MEDICAL PROGRAM DIRECTOR
- Phone
- (401) 462-1115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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