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NPI Code Detail

MEDICARE: PARTNERS IN PRIMARY CARE, INC

MEDICARE: PARTNERS IN PRIMARY CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1770781478
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERS IN PRIMARY CARE, INC
Provider Business Mailing Address
First Line : 750 RESERVOIR AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4423
Country : US
Telephone Number : 401-464-6617
Fax Number : 401-464-6673
Provider Business Practice Location Address
First Line : 750 RESERVOIR AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4423
Country : US
Telephone Number : 401-464-6617
Fax Number : 401-464-6673
Authorized Official
Title or Position : PRESDIENT OF COMPANY
Name : DR. BRIAN J PICKETT
Credential :
Telephone Number : 401-464-6617
Provider Enumeration Date : 07/05/2007
Last Update Date : 09/24/2007

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Directions to “PARTNERS IN PRIMARY CARE, INC ” Practice Location

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