Healthcare Provider Details

I. General information

NPI: 1447799036
Provider Name (Legal Business Name): NEW ENGLAND PREMIER HEALTHCARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-7327
US

IV. Provider business mailing address

48 GASPEE POINT DR
WARWICK RI
02888-4918
US

V. Phone/Fax

Practice location:
  • Phone: 401-996-5267
  • Fax:
Mailing address:
  • Phone: 401-996-5267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD15142
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN00833
License Number StateRI

VIII. Authorized Official

Name: DR. GARRON S LAMP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-996-5267