Provident Pain and Wellness Clinic
NPI #1639404635 in Newport, Rhode Island
Provider Information
- NPI Number
- 1639404635
- Entity Type
- Organization
- Organization Name
- Provident Pain and Wellness Clinic
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Oct 8, 2009
- Last Updated
- Mar 28, 2011
Practice Location
- Address
- 19 FRIENDSHIP ST
- Address 2
- SUITE 160
- City
- Newport
- State
- Rhode Island
- ZIP Code
- 02840-2200
- Phone
- (401) 499-7771
Authorized Official
- Name
- RAUL A MASING, MD
- Title
- OWNER
- Phone
- (401) 499-7771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Physical Therapist |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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