Providence Vamc
NPI #1710461215 in Providence, Rhode Island
Provider Information
- NPI Number
- 1710461215
- Entity Type
- Organization
- Organization Name
- Providence Vamc
- Primary Specialty
- Clinic/Center - VA
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 75 EAGLE ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02909-1081
- Phone
- (717) 277-6565
Authorized Official
- Name
- ERIN DENISE POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - VA — VA |
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