NPI 1043553480

Rhode Island Spasticity Management

Organisation Neurology Physician Providence, RI

Practice location

Address: 593 Eddy St Apc 6th Floor, Providence, RI 02903-4923
Phone: (401) 793-9131
Fax: (401) 444-2788
Mailing address: 65 Harwich Rd, Providence, RI 02906-4919

Authorised official

Name: Mason Gapser
Title: Owner
Phone: (401) 378-0258

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence DO00611 (RI)

Other Psychiatry & Neurology providers in Rhode Island →

Registry record

NPI: 1043553480
Entity type: Organization
NPI issued: 4 Apr 2013
Record last updated: 4 Apr 2013

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.