NPI 1285161927
Coastal Medical, INC
Practice location
- Address
- 900 Warren Ave STE 401, East Providence, RI 02914-1430
- Phone
- (401) 421-4000
- Mailing address
- 10 Davol Sq STE 400, Providence, RI 02903-4754
Authorised official
- Name
- Meryl Moss
- Title
- Coo
- Phone
- (401) 421-4000
Registered specialties (5)
Internal Medicine Physician
Primary
Psychologist
Clinical Psychologist
Clinical Child & Adolescent Psychologist
Clinical Social Worker
Registry record
- NPI
- 1285161927
- Entity type
- Organization
- NPI issued
- 12 May 2017
- Record last updated
- 26 Mar 2019
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.