Blackstone Valley Ob Gyn INC
NPI #1972632255 in Lincoln, Rhode Island
Provider Information
- NPI Number
- 1972632255
- Entity Type
- Organization
- Organization Name
- Blackstone Valley Ob Gyn INC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 28, 2009
Practice Location
- Address
- 6 BLACKSTONE VALLEY PL
- Address 2
- SUITE 501
- City
- Lincoln
- State
- Rhode Island
- ZIP Code
- 02865-1179
- Phone
- (401) 334-2229
Authorized Official
- Name
- JAN J PENKALA, MD
- Title
- PHYSICIAN OWNER
- Phone
- (401) 334-2229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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