| Stone Bridge Psychiatric Associates Pc | |
|
1804 Main Rd Suite B Tiverton RI 02878-4625 | |
| (401) 816-5672 | |
| (401) 816-5692 |
| Full Name | Stone Bridge Psychiatric Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1804 Main Rd, Tiverton, Rhode Island |
| Authorized Official Name and Position | Robert J Mignone (OWNER) |
| Authorized Official Contact | 4018165672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Bridge Psychiatric Associates Pc 1804 Main Rd Suite B Tiverton RI 02878-4625 Ph: (401) 816-5672 | Stone Bridge Psychiatric Associates Pc 1804 Main Rd Suite B Tiverton RI 02878-4625 Ph: (401) 816-5672 |
| NPI Number | 1841588365 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 02/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841588365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD11809 (Rhode Island) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 32146 (Massachusetts) | Secondary |
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