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NPI Code Detail

MEDICARE: MEADOW PARRISH

MEDICARE: MEADOW PARRISH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1083562672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEADOW PARRISH
Provider Business Mailing Address
First Line : 299 CARPENTER ST UNIT 211
Second Line :
City : PROVIDENCE
State : RI
Zip : 02909-1435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line :
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2455
Country : US
Telephone Number : 434-414-6297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ MEADOW PARRISH ” Practice Location

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