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325 Quaker Lane LLC

Orthopaedic Surgery in West Warwick, RI. Organization (NPI-2).

NPI number1437636842
StatusActive
Last updated in NPPESJul 27, 2018

Details

NPI
1437636842
Entity type
Organization (NPI-2)
Legal business name
325 Quaker Lane LLC
Organization subpart
No
Enumeration date
Jul 27, 2018
Last updated
Jul 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes

Practice location

325 Quaker Ln
West Warwick, RI 02893-2122

Phone 401-443-4150

Mailing address

Po Box 1119
Providence, RI 02901-1119

Authorized official

Weber Shill
Chief Executive Officer
4014434150

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