NPI 1003982547

Heritage Medical Associates PC

Organisation Internal Medicine Physician Pawtucket, RI

Practice location

Address: 131 Beechwood Ave, Pawtucket, RI 02860-5409
Phone: (401) 475-1999
Fax: (401) 475-6932

Authorised official

Name: John Peter Miskovsky
Title: President
Phone: (401) 475-1999

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD 10350 (RI)

Other Internal Medicine providers in Rhode Island →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence CT 0816 (CT)

Other Podiatrist providers in Rhode Island →

Registry record

NPI: 1003982547
Entity type: Organization
NPI issued: 27 Nov 2006
Record last updated: 13 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.