| Westerly Family Practice LLC | |
|
62 Wells St Westerly RI 02891-2924 | |
| (401) 348-5005 | |
| Not Available |
| Full Name | Westerly Family Practice LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 62 Wells St, Westerly, Rhode Island |
| Authorized Official Name and Position | Hartmut Doerwaldt (OWNER) |
| Authorized Official Contact | 4013485005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westerly Family Practice LLC 62 Wells St Westerly RI 02891-2924 Ph: (401) 348-5005 | Westerly Family Practice LLC 62 Wells St Westerly RI 02891-2924 Ph: (401) 348-5005 |
| NPI Number | 1174718639 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174718639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD11609 (Rhode Island) | Primary |
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