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Contact Information

HERITAGE MEDICAL ASSOCIATES PC
131 BEECHWOOD AVE
PAWTUCKET, RI02860-5409
 Phone: 401-475-1999
 Fax: 401-475-6932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HERITAGE MEDICAL ASSOCIATES PC

NPI # 1003982547
LBN Legal business name HERITAGE MEDICAL ASSOCIATES PC
Authorized official JOHN MISKOVSKY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 10/13/2015 - About 11 years ago
Identifiers
CT License # CT 0816
RI License # MD 10350
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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