PROVIDENT PAIN AND WELLNESS CLINIC

NEWPORT, RI
NPI1639404635
Entity TypeOrganization
Authorized ContactRAUL A MASING
Owner
401-499-7771
Organization Subpart ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: RI  10503)
Additional Taxonomies207L00000X Anesthesiology
(Licence: RI  10503)
225100000X Physical Therapist
(Licence: RI  PT01902)
Enumeration Date2009-10-08
Last Update Date2011-03-28
Business Address
PROVIDENT PAIN AND WELLNESS CLINIC
19 FRIENDSHIP ST SUITE 160
NEWPORT, RI 02840-2200
Phone number: 401-499-7771
Mailing Address
PROVIDENT PAIN AND WELLNESS CLINIC
75 NEWMAN AVE SUITE 100
RUMFORD, RI 02916-3603
Phone number: 401-453-0666