Central Falls Children'S Foundation

Organization Active NPI Pediatrics Physician · Central Falls, RI

NPI 1124774062 · NPPES record last updated Mar 1, 2022

Key facts

NPI
1124774062
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CENTRAL FALLS CHILDREN'S FOUNDATION
Practice address
577 Broad Street.
Central Falls, RI 02863-2837
Phone
(401) 305-1950
Fax
(401) 543-2112
NPI assigned
Mar 1, 2022
Organization subpart
No

Authorized official

Name
Dr. Beata Felicia Nelken, MD
Title
Director
Phone
(401) 339-7046

National Provider Directory

Locations

577 Broad St
Central Falls, RI 02863
Phone (401) 305-1950

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

577 Broad Street.
Central Falls, RI 02863-2837

Mailing address

577 Broad Street.
Central Falls, RI 02863-2837
Phone (401) 339-7046

Other identifiers

IdentifierTypeStateIssuer
BN54275MedicaidRI

Other providers in Central Falls, RI

All providers in Central Falls, RI · Pediatrics Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.