PROSPECT CHARTERCARE PHYSICIANS, LLC

CRANSTON, RI
NPI1629493135
Doing Business AsCHARTERCARE MEDICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactROBERT JON ELDERS
Secretary
714-788-1249
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies133N00000X Nutritionist
133VN1006X Dietitian, Registered, Nutrition, Metabolic
207N00000X Dermatology
(Licence: RI  PR98473)
207Q00000X Family Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RH0003X Internal Medicine, Hematology & Oncology
207RI0200X Internal Medicine, Infectious Disease
207RP1001X Internal Medicine, Pulmonary Disease
207T00000X Neurological Surgery
2084N0400X Psychiatry & Neurology, Neurology
208600000X Surgery
208800000X Urology
Enumeration Date2014-02-20
Last Update Date2021-08-23
Business Address
PROSPECT CHARTERCARE PHYSICIANS, LLC
1681 CRANSTON ST
CRANSTON, RI 02920-5000
Phone number: 401-944-6889
Mailing Address
PROSPECT CHARTERCARE PHYSICIANS, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2025