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Contact Information

ROGER WILLIAMS MEDICAL CENTER
825 CHALKSTONE AVE
PROVIDENCE, RI02908-4728
 Phone: 401-456-2363
 Fax: 401-456-6744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ROGER WILLIAMS MEDICAL CENTER · (Female)

NPI Number 1457395998
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 03/13/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # HOS00108
  • RI Medicaid RW18813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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