Healthcare Provider Details

I. General information

NPI: 1386833127
Provider Name (Legal Business Name): ARTHRITIS CENTER OF RHODE ISLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 OLD RIVER RD SUITE B-2
LINCOLN RI
02865-1161
US

IV. Provider business mailing address

132 OLD RIVER RD SUITE B-2
LINCOLN RI
02865-1161
US

V. Phone/Fax

Practice location:
  • Phone: 401-333-2784
  • Fax: 401-333-1110
Mailing address:
  • Phone: 401-333-2784
  • Fax: 401-333-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number
License Number StateRI

VIII. Authorized Official

Name: DR. DAVID KADMON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-333-2784