NPI 1396977823

Cranston East Medical Clinic

Organisation Adult Medicine Physician Cranston, RI

Practice location

Address: 934 Park Ave, Cranston, RI 02910-2708
Phone: (401) 941-3166
Fax: (401) 941-3122

Authorised official

Name: William C Chang
Title: Medical Director
Phone: (401) 941-3166

Registered specialties

Adult Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 6631 (RI)

Other Family Medicine providers in Rhode Island →

Registry record

NPI: 1396977823
Entity type: Organization
NPI issued: 17 Aug 2009
Record last updated: 17 Aug 2009

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.