Blackstone Valley Center for Internal Medicine, INC

NPI #1659338655 in Woonsocket, Rhode Island

Provider Information

NPI Number
1659338655
Entity Type
Organization
Organization Name
Blackstone Valley Center for Internal Medicine, INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 26, 2006
Last Updated
Aug 1, 2007

Practice Location

Address
191 SOCIAL ST
Address 2
SUITE 840
ZIP Code
02895-3240
Phone
(401) 762-2535

Authorized Official

Name
DR. GREIGSTONE MONTGOMERY YEARWOOD, M.D.
Title
PRESIDENT/PHYSICIAN
Phone
(401) 762-2535

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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