Providence Va Medical Center

NPI #1821535121 in Providence, Rhode Island

Provider Information

NPI Number
1821535121
Entity Type
Organization
Organization Name
Providence Va Medical Center
Primary Specialty
Military Hospital
Enumeration Date
Jan 24, 2017
Last Updated
Jan 24, 2017

Practice Location

Address
830 CHALKSTONE AVE
ZIP Code
02908-4734
Phone
(401) 273-7100

Authorized Official

Name
DR. SUSAN MCKENZIE
Title
DIRECTOR
Phone
(401) 273-7100

Specialties & Taxonomy Codes

Specialty
Military Hospital

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