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NPI 1831975309 · live from the CMS NPI Registry

Neurologic Center For Epilepsy, LLC

Psychiatry & Neurology, Neurology in East Providence, RI. National Provider Identifier 1831975309, active.

NPI record

NPI1831975309 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location375 Wampanoag Trl Ste 405b, East Providence, RI 02915
Practice phone401-781-2400
Mailing address375 Wampanoag Trl Ste 405b, Riverside, RI 02915
EnumeratedAugust 31, 2023
Last updatedJune 10, 2024
Authorized officialPreeti Gupta, Medical Director

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400X—

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