NPI 1306123476

Providence Interventional Associates II LLC

Organisation Vascular & Interventional Radiology Physician Providence, RI

Practice location

Address: 100 Highland Ave STE 100, Providence, RI 02906-2740
Phone: (401) 277-9729
Fax: (401) 277-9730

Authorised official

Name: Jonah Licht
Title: Owner
Phone: (401) 277-9729

Registered specialties (2)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Other Radiology providers in Rhode Island →

Nephrology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in Rhode Island →

Registry record

NPI: 1306123476
Entity type: Organization
NPI issued: 3 Nov 2011
Record last updated: 13 Jun 2025

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.