Healthcare Provider Details

I. General information

NPI: 1518100056
Provider Name (Legal Business Name): WARWICK PAIN ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 POST RD
WARWICK RI
02886-3169
US

IV. Provider business mailing address

PO BOX 4110
WOBURN MA
01888-4110
US

V. Phone/Fax

Practice location:
  • Phone: 401-352-0007
  • Fax: 401-352-0023
Mailing address:
  • Phone: 401-352-0007
  • Fax: 401-352-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD12879
License Number StateRI

VIII. Authorized Official

Name: BORIS SHWARTZMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-352-0007