East Coast Electrodiagnostic, Inc.

Organization Active NPI Physical Medicine & Rehabilitation Physician · North Providence, RI

NPI 1194968883 · NPPES record last updated Apr 11, 2009

Key facts

NPI
1194968883
Entity type
Organization (NPI type 2)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
238278 (MA)
Legal business name
EAST COAST ELECTRODIAGNOSTIC, INC.
Practice address
118 Cottage Ave
North Providence, RI 02911-3545
Phone
(401) 499-6772
NPI assigned
Apr 11, 2009
Organization subpart
No

Authorized official

Name
Anthony Donatelli
Title
President
Phone
(401) 499-6772

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208100000X 238278 MA Yes

Addresses

Primary practice location

118 Cottage Ave
North Providence, RI 02911-3545

Mailing address

118 Cottage Ave
North Providence, RI 02911-3545
Phone (401) 499-6772

Other providers in North Providence, RI

All providers in North Providence, RI · Physical Medicine & Rehabilitation Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.