Edgewood Medical Llc

LBN: Edgewood Medical Llc
Edgewood Medical Llc is an health care organization with primary practice located at 251 Park Ave 2Nd Floor, Cranston RI 02905-2647. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Edgewood Medical Llc can be contacted via phone (401) 275-0700, or through Polanco, Jose R via phone (401) 275-0700.

Contact Information

Primary practice address
251 Park Ave 2Nd Floor Cranston RI 02905-2647
Phone: (401) 275-0700
Fax: (401) 275-0775
Website:
Map and Directions
Authorized official contact:
Name: Polanco, Jose R Doctor of Medicine (MD)
Phone: (401) 275-0700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10514 Rhode Island

Profile Details

NPI number 1952501421
LBN Legal business name Edgewood Medical Llc
DBA Doing business as
Authorized official Polanco, Jose R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Sep 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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