Advanced Integrative Medicine

NPI #1932983590 in North Kingstown, Rhode Island

Provider Information

NPI Number: 1932983590
Entity Type: Organization
Organization Name: Advanced Integrative Medicine
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Aug 23, 2023
Last Updated: Aug 23, 2023

Practice Location

Address: 320 PHILLIPS ST FL 1
City: North Kingstown
State: Rhode Island
ZIP Code: 02852-5166
Phone: (401) 206-0715

Authorized Official

Name: DERRYL NOWAK
Title: COO
Phone: (401) 206-0715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Clinic/Center - VA — VA	261QV0200X
Family Medicine	207Q00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Chiropractor	111N00000X
Military Health Care Provider	171000000X
Clinic/Center - Pain — Pain	261QP3300X	Primary

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