NPI 1043553480 · live from the CMS NPI Registry
Rhode Island Spasticity Management
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1043553480, active.
NPI record
| NPI | 1043553480 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 593 Eddy St, Apc 6th Floor, Providence, RI 02903 |
| Practice phone | 401-793-9131 |
| Mailing address | 65 Harwich Rd, Providence, RI 02906 |
| Enumerated | April 4, 2013 |
| Last updated | April 4, 2013 |
| Authorized official | Mason Gapser, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | DO00611 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.