Unknown Individual – Geriatric Psychiatry Physician, NPI 1700817962
Geriatric Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
249, Roosevelt Avenue, Pawtucket, Providence County, Rhode Island, 02860, United States
SUITE 205
PAWTUCKET, RI 028602134
Phone: (401) 667-6518
Fax: (401) 365-1100
Type: Mailing
Bacon Street, Pawtucket, Providence County, Rhode Island, 02861, United States
PAWTUCKET, RI 028605542
Phone: (401) 722-3560
Fax: (401) 724-3120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02860)
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