HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC
Non-Pharmacy Dispensing Site
Active
Organization
NPI: 1447392469
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes | MD06978 (RI) |
Frequently Asked Questions
NPI 1447392469 is the National Provider Identifier for HILLSIDE AVENUE FAMILY AND COMMUNITY MEDICINE, LLC, a Non-Pharmacy Dispensing Site provider located in Pawtucket, RI. This NPI was enumerated on February 13, 2007.
Quick Facts
- NPI
- 1447392469
- Type
- Organization
- Enumerated
- Feb 13, 2007
- Last Updated
- Oct 17, 2012
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GATEWAY HEALTHCARE, INC
Case Management
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MS. KATELYN LARSSON, PA-C
Physician Assistant
-
THOMAS RODRIGUES
Social Worker - Clinical
-
DANIEL REYES, MASTERS
Counselor
-
DONNA RENSHAW
Counselor