| Newport Neurologic And Electrodiagnostic Center Pc | |
|
23 Powel Ave Newport RI 02840-2671 | |
| (401) 619-5740 | |
| (401) 619-5742 |
| Full Name | Newport Neurologic And Electrodiagnostic Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 23 Powel Ave, Newport, Rhode Island |
| Authorized Official Name and Position | Grace A Medeiros (OWNER/PRESIDENT) |
| Authorized Official Contact | 4016195740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Neurologic And Electrodiagnostic Center Pc 23 Powel Ave Newport RI 02840-2671 Ph: (401) 619-5740 | Newport Neurologic And Electrodiagnostic Center Pc 23 Powel Ave Newport RI 02840-2671 Ph: (401) 619-5740 |
| NPI Number | 1497994826 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497994826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD09160 (Rhode Island) | Primary |
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