Roger Williams Radiation Therapy, Llc

LBN: Roger Williams Radiation Therapy, Llc
Roger Williams Radiation Therapy, Llc is an health care organization with primary practice located at 50 Maude St , Providence RI 02908-4325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Roger Williams Radiation Therapy, Llc can be contacted via phone (401) 456-2690, or through Marzouk, Shaden via phone (239) 931-7254.

Contact Information

Primary practice address
50 Maude St Providence RI 02908-4325
Phone: (401) 456-2690
Fax: (401) 456-6540
Website:
Map and Directions
Authorized official contact:
Name: Marzouk, Shaden
Phone: (239) 931-7254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1013078450
LBN Legal business name Roger Williams Radiation Therapy, Llc
DBA Doing business as
Authorized official Marzouk, Shaden
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Sep 25th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1013078450 NPPES
Rhode Island MEDICAID 1013078

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