EAST BAY NEUROLOGY PROFESSIONAL CORPORATION
Neurology at School St, Pawtucket, RI

License number
Rhode Island MD 09501
Category
Neurology
Type
Neurology
License number
Rhode Island 212368
Category
Neurology
Type
Neurology
Owner
Name: MOTASEM A AL YACOUB MD
Title: PRESIDENT
Phone: (401) 724-4100
Address
Address
333 School St #103, Pawtucket, RI 02860
National Provider ID: 1275668006
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EAST BAY NEUROLOGY PROFESSIONAL CORPORATION at bizstanding.com

East Bay Neurology, Professional Corporation

Pawtucket, RI  -  Lincoln, RI

Status:
Inactive
Industry:
TO ENGAGE IN THE PRACTICE OF THE TREATMENTOF MEDICINE SPECIALIZING IN NEUROLOGICAL DISORDERS, Medical Doctor's Office
Doing business as:
East Bay Neurology
Registration:
Apr 21, 2003
Phone:
(401) 722-7300 (Phone)
Addresses:
333 School St SUITE 103, Pawtucket, RI 02860 (Physical)
6 Blackstone Vly Pl, Lincoln, RI 02865
State ID:
000131453
Business type:
Domestic Profit Corporation
Medical Doctor, Neurology, President, Principals:
Motasem Alyacoub (PRESIDENT), 333 School St SUITE 103, Pawtucket, RI 02860 (Physical),Ahmad K. Al-Raqqad Principal, inactive,Motasem A. Al Yacoub Medical Doctor, Neurology, President, Principal, inactive
Agent:
Stephen D. Zubiago, Esq,Nixon Peabody Llp, Providence, RI 02903 (Physical)

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