NPI 1134514276
Ocean State Primary Care Center of Coventry, LLC
Practice location
- Address
- 982 Tiogue Ave, Coventry, RI 02816-6116
- Phone
- (401) 821-6800
- Fax
- (401) 821-8513
Authorised official
- Name
- Jonathan H. Martin
- Title
- Managing Partner
- Phone
- (401) 821-6800
Registered specialties (4)
Family Medicine Physician
Primary
Physician Assistant
Nurse Practitioner
Adult Health Nurse Practitioner
Registry record
- NPI
- 1134514276
- Entity type
- Organization
- NPI issued
- 6 Apr 2015
- Record last updated
- 11 Oct 2017
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.