Healthcare Provider Details

I. General information

NPI: 1215122692
Provider Name (Legal Business Name): PULMONARY AND SLEEP OFFICE OF NEW ENGLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 JOHN A CUMMINGS WAY BOX # 3
WOONSOCKET RI
02895-3224
US

IV. Provider business mailing address

25 JOHN A CUMMINGS WAY BOX # 3
WOONSOCKET RI
02895-3224
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-6066
  • Fax: 401-766-6672
Mailing address:
  • Phone: 401-766-6066
  • Fax: 401-766-6672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD D KHAMIEES
Title or Position: PRESIDENT
Credential: MD
Phone: 401-766-6066