LEWIS R. WEINER, M.D., INC.
Ambulatory Health at Davol Sq, Providence, RI

License number
Rhode Island 07384
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. LEWIS R. WEINER M.D.
Title: PRESIDENT
Phone: (401) 369-7070
Address
Address
1 Davol Sq #304, Providence, RI 02903
National Provider ID: 1972721157
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Lewis R. Weiner, M.D., Inc

1 Davol Sq SUITE 304, Providence, RI 02903

Industry:
To Provide Medical Services
Registration:
Feb 1, 2005
State ID:
000145510
Business type:
Domestic Profit Corporation
Presidents:
Vanessa Cl Weiner (Secretary), 1 Davol Sq SUITE #304, Providence, RI 02903 (Physical),Lewis R Weiner (President), 534 Lloyd Ave, Providence, RI 02906 (Physical)
Agent:
John B. Reilly,100 N Main St 4, Providence, RI 02903 (Physical)

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