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NPI 1396778593 · live from the CMS NPI Registry

Landmark Physician Office Services

Internal Medicine in Woonsocket, RI. National Provider Identifier 1396778593, active.

NPI record

NPI1396778593 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location219 Cass Ave, Woonsocket, RI 02895
Practice phone401-769-4100
Mailing addressPo Box 845582, Boston, MA 02284
EnumeratedJuly 9, 2006
Last updatedMay 29, 2013
Authorized officialRichard Charest, President & Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology207V00000X—
Orthopaedic Surgery207X00000X—
Surgery, Surgical Oncology2086X0206X—
Surgery208600000XMD10296 (RI)
Family Medicine207Q00000X5623 (RI)
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.