NPI 1912082561
Coastal Medical INC.
Practice location
- Address
- 900 Warren Ave Suite 100, East Providence, RI 02914-1430
- Phone
- (401) 383-9662
- Fax
- (401) 383-6526
- Mailing address
- 10 Davol Square Suite 400, Providence, RI 02903
Authorised official
- Name
- Meryl Moss
- Title
- Coo
- Phone
- (401) 421-4000
Registered specialties (3)
Diagnostic Radiology Physician
Primary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Body Imaging Physician
Registry record
- NPI
- 1912082561
- Entity type
- Organization
- NPI issued
- 25 Oct 2006
- Record last updated
- 17 Feb 2016
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.