PRIMARY CARE MEDICAL ASSOCIATES OF CRANSTON INC
Osteopathic Medicine at Broad St, Providence, RI

License number
Rhode Island 10197
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ELIZABETH G DEJESUS M.D.
Title: MEDICAL DIRECTOR
Phone: (401) 461-5400
Address
Address
1596 Broad St, Providence, RI 02905
National Provider ID: 1346307485
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Primary Care Medical Associates of Cranston, Inc

1596 Broad St, Providence, RI 02905

Industry:
TO OPERATE A MEDICAL OFFICE AND MEDICAL LABORATORY, Osteopathic Physician's Office Medical Doctor's Office
Doing business as:
Primary Care Medical Association Inc
Registration:
May 27, 2003
State ID:
000132275
Business type:
Domestic Profit Corporation
Gynecology/Obstetricss:
Elizabeth Jesus (PRESIDENT, Internal Medicine, Manager, Medical Director, Medical Doctor), 1596 Broad St, Providence, RI 02905 (Physical),Benilde Silva (SECRETARY, Assistant), 2475 Pawtucket Ave, Cranston, RI 02910 (Physical),Lolita Ruelos (Office Manager),...
Agent:
Joseph A. Dannin,747 Aquidneck Ave SUITE 2E, Middletown, RI 02842 (Physical)

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