Blackstone Valley OB GYN Inc
Organization Active NPI Obstetrics & Gynecology Physician · Lincoln, RI
NPI 1972632255 · NPPES record last updated Jul 28, 2009
Key facts
- NPI
- 1972632255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- BLACKSTONE VALLEY OB GYN INC
- Practice address
- 6 Blackstone Valley PL
Suite 501
Lincoln, RI 02865-1179 - Phone
- (401) 334-2229
- Fax
- (401) 333-2454
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Jan J Penkala, MD
- Title
- Physician Owner
- Phone
- (401) 334-2229
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
6 Blackstone Valley PL
Suite 501
Lincoln, RI 02865-1179
Mailing address
6 Blackstone Valley PL
Suite 501
Lincoln, RI 02865-1179
Phone (401) 334-2229
Other providers in Lincoln, RI
- Nathan B Beraha
- Jillian Lee Biello
- Shawn Binns
- Bio-Medical Applications of Rhode Island, Inc.
- Blackstone Valley Hearing Centers
- Jessica Adelle Blackwell
- Michelle O Bland
- Marc M. Bochner
- Lauren Bolster
- Joseph Bolte
All providers in Lincoln, RI · Obstetrics & Gynecology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.