NORTH PROVIDENCE MEDICAL SERVICES, INC
Suppliers at Mineral Spring Ave, Providence, RI

License number
Rhode Island MD05562
Category
Ambulatory Health
Type
Urgent Care
License number
Rhode Island MD10188
Category
Ambulatory Health
Type
Urgent Care
License number
Rhode Island MD05562
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MR. STEPHEN D'AMATO M.D.
Title: OWNER
Phone: (401) 353-1012
Address
Address
1637 Mineral Spring Ave SUITE 115, Providence, RI 02904
National Provider ID: 1992757017
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH PROVIDENCE MEDICAL SERVICES, INC

1637 Mineral Spg Ave, Providence, RI 02904

Industry:
Emergency Medical Care, Walk-In Medical Clinic
Registration:
Jan 8, 1975
Phone:
(401) 353-0330 (Phone)
State ID:
000017382
Business type:
Domestic Profit Corporation
Officers:
Robert L Gordon (President), 58 Gaspee Pt Dr, Warwick, RI 02888 (Physical),Stephen J. D 'Amato (Secretary), 9 Eagle Dr, North Kingstown, RI 02852 (Physical),Stephen J. D'amato (President, Emergency Medicine Specialist, Medical Doctor, Owner),...
Agent:
Joseph J. Rodio,Rodio & Ursillo Ltd, Providence, RI 02903 (Physical)
SIC:
8049 - Offices and Clinics of Health Practitioners, Not Elsewhere Classified

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