LIFESPAN PHYSICIAN GROUP, INC.

WARREN, RI
NPI1629449210
Other NameMETACOM MEDICAL
Entity TypeOrganization
Authorized ContactPETER K MARKELL
EVP & CFO
401-444-7914
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies111N00000X Chiropractor
363L00000X Nurse Practitioner
Enumeration Date2015-10-08
Last Update Date2023-04-20
Business Address
LIFESPAN PHYSICIAN GROUP, INC.
639 METACOM AVE
WARREN, RI 02885-2348
Phone number: 401-245-1500
Mailing Address
LIFESPAN PHYSICIAN GROUP, INC.
117 ELLENFIELD ST SUITE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779