Healthcare Provider Details

I. General information

NPI: 1649384355
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JOHN A CUMMINGS WAY
WOONSOCKET RI
02895-3224
US

IV. Provider business mailing address

25 JOHN CUMMINGS WAY
WOONSOCKET RI
02895
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-5959
  • Fax:
Mailing address:
  • Phone: 401-766-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateRI

VIII. Authorized Official

Name: DR. MOHAMMAD ARIF
Title or Position: PRESIDENT
Credential: MD
Phone: 401-766-5959