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NPI Code Detail

MEDICARE: WOONSOCKET URGENT CARE, PC

MEDICARE: WOONSOCKET URGENT CARE, PC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1881929586
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOONSOCKET URGENT CARE, PC
Provider Business Mailing Address
First Line : 103 PROVIDENCE HWY
Second Line :
City : EAST WALPOLE
State : MA
Zip : 02032-1512
Country : US
Telephone Number : 781-255-0500
Fax Number : 781-255-0400
Provider Business Practice Location Address
First Line : 103 PROVIDENCE HWY
Second Line :
City : EAST WALPOLE
State : MA
Zip : 02032-1512
Country : US
Telephone Number : 781-255-0500
Fax Number : 781-255-0400
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : PAUL VALLERA
Credential : P.A.
Telephone Number : 401-766-2700
Provider Enumeration Date : 10/14/2009
Last Update Date : 04/20/2026

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