NPI 1104315258

Pawtucket Primary Care INC.

Organisation Internal Medicine Physician Pawtucket, RI

Practice location

Address: 333 School St STE 107, Pawtucket, RI 02860-5335
Phone: (401) 351-1900
Mailing address: 1830 Mineral Spring Ave, North Providence, RI 02904-3864

Authorised official

Name: Anthony G Farina
Title: Owner
Phone: (401) 351-1900

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence RI8466 (RI)

Other Internal Medicine providers in Rhode Island →

Registry record

NPI: 1104315258
Entity type: Organization
NPI issued: 4 May 2018
Record last updated: 4 May 2018

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.