| Andrzej J Stankiewicz Md Phd Ltd | |
|
200 High Servce Avenue Marian Hall 2nd Floor North Providence RI 02904-5113 | |
| (401) 456-3064 | |
| (401) 752-8247 |
| Full Name | Andrzej J Stankiewicz Md Phd Ltd |
|---|---|
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 200 High Servce Avenue, North Providence, Rhode Island |
| Authorized Official Name and Position | Andrzej J Stankiewicz (OWNER) |
| Authorized Official Contact | 4014563064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrzej J Stankiewicz Md Phd Ltd 200 High Servce Avenue Marian Hall 2nd Floor North Providence RI 02904-5113 Ph: (401) 456-3064 | Andrzej J Stankiewicz Md Phd Ltd 200 High Servce Avenue Marian Hall 2nd Floor North Providence RI 02904-5113 Ph: (401) 456-3064 |
| NPI Number | 1730392390 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730392390 | NPI | - | NPPES |
| 4549 | Other | BCBS | |
| 792298 | Other | USFNP | |
| 004304 | Other | BLUE CHP | |
| 0405194 | Other | UNITED DEATH | |
| 9000454 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RI7157 (Rhode Island) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | MA57821 (Massachusetts) | Primary |
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