Healthcare Provider Details

I. General information

NPI: 1093723546
Provider Name (Legal Business Name): GASTROENTEROLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 WEST RIVER STREET
PROVIDENCE RI
02904
US

IV. Provider business mailing address

44 WEST RIVER STREET
PROVIDENCE RI
02904-2609
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-4800
  • Fax: 401-454-0410
Mailing address:
  • Phone: 401-274-4800
  • Fax: 401-454-0410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL R GREENSPAN
Title or Position: PRESIDENT
Credential: MD
Phone: 401-274-4800