LIFESPAN PHYSICIAN GROUP INC
Organization (NPI-2)
Active
Clinic/Center, Ambulatory Surgical
Provider Information
- NPI Number
1134078868- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 62 AMARAL STREET, EAST PROVIDENCE, RI, 02915
- Phone
- (401) 649-4030
- Fax
- (401) 649-4031
Specialties & Taxonomies
Clinic/Center, Ambulatory Surgical
Primary
All Addresses
MAILING
15 LA SALLE SQ
PROVIDENCE, RI, 029031814