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Contact Information

BLACKSTONE MEDICAL CENTER, INC.
115 CASS AVE
WOONSOCKET, RI02895-4705
 Phone: 401-769-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Neuropsychologist

103G00000X
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BLACKSTONE MEDICAL CENTER INC · (Female)

NPI # 1033464276
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2012
Last updated 07/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # 00117
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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