UNIVERISTY OF RHODE ISLAND
Managed Care Organizations at Upper College Rd, Wakefield, RI

License number
Rhode Island 2255A2300X
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MR. ROBERT STACHURA
Title: ATHLETIC TRAINER
Phone: (860) 316-8870
Address
Address 2
45 Upper College Rd, Wakefield, RI 02881
123 Pheasant Dr, Middletown, CT 06457
National Provider ID: 1942652391
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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