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Contact Information

COASTAL MEDICAL INC
10 DAVOL SQ
SUITE 400
PROVIDENCE, RI02903-4754
 Phone: 401-421-4000
 Fax: 401-453-3258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COASTAL MEDICAL INC · (Female)

NPI # 1609863828
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2005
Last updated 04/01/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI Medicaid CM13413
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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