NPI 1841074580
Veteran Medical Specialists
Practice location
- Address
- 139 Benefit St, Pawtucket, RI 02861-1024
- Phone
- (401) 206-0715
- Fax
- (401) 204-1123
- Mailing address
- 8204 Lisa Ln, Smyrna, TN 37167-3364
Authorised official
- Name
- Derryl Nowak
- Title
- Coo
- Phone
- (585) 472-3018
Registered specialties (14)
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Chiropractor
Acupuncturist
Health & Wellness Coach
Sports Medicine (Family Medicine) Physician
Massage Therapist
Home Health Agency
Clinic/Center
Health Service Clinic/Center
Multi-Specialty Clinic/Center
Physical Therapy Clinic/Center
Primary Care Clinic/Center
VA Clinic/Center
Preferred Provider Organization
Registry record
- NPI
- 1841074580
- Entity type
- Organization
- NPI issued
- 23 Aug 2023
- Record last updated
- 23 Aug 2023
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.