Healthcare Provider Details

I. General information

NPI: 1821277427
Provider Name (Legal Business Name): ASSOCIATES IN PRIMARY CARE MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 POST RD
WARWICK RI
02888-3360
US

IV. Provider business mailing address

857 POST RD
WARWICK RI
02888-3360
US

V. Phone/Fax

Practice location:
  • Phone: 401-467-3115
  • Fax: 401-467-9120
Mailing address:
  • Phone: 401-467-3115
  • Fax: 401-467-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPP37217
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPP37523
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD11053
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO00303
License Number StateRI

VIII. Authorized Official

Name: MARTIN J KERZER
Title or Position: OWNER
Credential: D.O.
Phone: 401-467-3115