PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC

PROVIDENCE, RI
NPI1497220412
Entity TypeOrganization
Authorized ContactJONAH LICHT
Owner
401-277-9729
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2018-10-05
Last Update Date2025-06-13
Business Address
PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC
100 HIGHLAND AVE STE 100
PROVIDENCE, RI 02906-2740
Phone number: 401-277-9729
Mailing Address
PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC
100 HIGHLAND AVE STE 100
PROVIDENCE, RI 02906-2740
Phone number: 401-277-9729
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