| Christopher W Ley Md, Inc | |
|
148 W River St Suite 22b Providence RI 02904-2615 | |
| (401) 572-3887 | |
| (401) 865-6192 |
| Full Name | Christopher W Ley Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 148 W River St, Providence, Rhode Island |
| Authorized Official Name and Position | Christopher Walker Ley (PRESIDENT) |
| Authorized Official Contact | 4015723887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher W Ley Md, Inc 148 W River St Suite 22b Providence RI 02904-2615 Ph: (401) 572-3887 | Christopher W Ley Md, Inc 148 W River St Suite 22b Providence RI 02904-2615 Ph: (401) 572-3887 |
| NPI Number | 1861621294 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 01/18/2012 |
| Medicare PECOS PAC ID | 2961549548 |
|---|---|
| Medicare Enrollment ID | O20091030000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861621294 | NPI | - | NPPES |
| MD06618 | Other | RI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD06618 (Rhode Island) | Primary |
| Provider Name | Christopher W Ley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598752024 PECOS PAC ID: 9830151125 Enrollment ID: I20041029000066 |
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