Prospect Chartercare Sjhsri, LLC
NPI #1821656034 in N Providence, Rhode Island
Provider Information
- NPI Number
- 1821656034
- Entity Type
- Organization
- Organization Name
- Prospect Chartercare Sjhsri, LLC
- Primary Specialty
- Internal Medicine - Addiction Medicine
- Enumeration Date
- Jun 3, 2019
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 200 HIGH SERVICE AVE
- City
- N Providence
- State
- Rhode Island
- ZIP Code
- 02904-5113
- Phone
- (310) 943-4500
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
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