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General NPI Number Information
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NPI Number | 1538387048
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Entity Type | Organization
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Legal Business Name | KAPLAN AND OLCHOWSKI MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 827 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5751
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Country | US
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Telephone | 401-273-6830
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Fax | 401-273-5925
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Provider Business Mailing Address
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Address Line | 827 N MAIN ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-5751
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Country | US
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Telephone | 401-273-6830
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Fax | 401-273-5925
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Authorized Official
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Title or Position | PART OWNER
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Name | DR. EDWARD CARL OLCHOWSKI
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Credential | M.D.
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Telephone | 401-273-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 05428
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License Number State | RI
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