Organization · NPI-2
Vmd Primary Providers Of Rhode Island PC
Family Medicine · Smithfield, RI
NPI number1649056508
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1649056508
- Entity type
- Organization (NPI-2)
- Legal business name
- Vmd Primary Providers Of Rhode Island PC
- Organization subpart
- Yes
- Enumeration date
- Sep 6, 2023
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
400 Putnam PikeSmithfield, RI 02917-2408
Phone 401-757-6160 · Fax 401-349-0840
Mailing address
Po Box 30034Belfast, ME 04915-2052
Authorized official
Fonda Shanks
Director Rev Cycle
8449690686
Is something wrong?
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