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THE MIRIAM HOSPITAL

Physicians Pathology Cytopathology

Provider NPI: 1598978744

Organization Information:
Organization Name:  THE MIRIAM HOSPITAL
Organization is Subpart
Authorized Official:  MARY A WAKEFIELD  EXECUTIVE VP & CFO  401-444-7093

Practice Location:
164 SUMMIT AVE  PROVIDENCE, RI 02906-2853 US
Tel: 401-444-5640  Fax: 401-444-5462

Business Mailing Address:
117 ELLENFIELD ST SUITE 101 PROVIDENCE, RI 02905-4513 US
Tel: 401-444-5640  Fax: 401-444-5462

NPI Information:
NPI: 1598978744
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZC0500XPhysicians
Pathology
Cytopathology
N207ZH0000XPhysicians
Pathology
N207ZM0300XPhysicians
Pathology
N207ZP0101XPhysicians
Pathology
N207ZP0102XPhysicians
Pathology
N207ZP0105XPhysicians
Pathology
N208600000XPhysicians
Surgery
N261Q00000XAmbulatory Health Care Facilities
Clinic/Center
RIHOS00122
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y261QM1300XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM1300X

Type:

Classification:



Definition:



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