| Neurologic Center For Epilepsy, Llc | |
|
333 School St Ste 306 Pawtucket RI 02860-5337 | |
| (313) 575-6631 | |
| (401) 526-9517 |
| Full Name | Neurologic Center For Epilepsy, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 333 School St Ste 306, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Preeti Gupta (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4017812400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurologic Center For Epilepsy, Llc 18 Maple Ave Unit 264 Barrington RI 02806-3560 Ph: (313) 575-6631 | Neurologic Center For Epilepsy, Llc 333 School St Ste 306 Pawtucket RI 02860-5337 Ph: (313) 575-6631 |
| NPI Number | 1831975309 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831975309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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Blackstone Valley Community Health Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39 East Ave, Pawtucket, RI 02860 Phone: 401-312-9892 | |
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