Urban Collaborative Accelerated Program

Specialty details in registry · Providence, RI

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At a glance

75 Carpenter St, Providence, RI 02903-3004

NPPES record updated May 26, 2010. Public records can lag behind changes at a practice.

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Practice location

75 Carpenter St
Providence, RI 02903-3004

Professional details: NPI, taxonomy & registry record

NPI1154640464

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251300000X
Enumeration date: May 26, 2010
Record updated: May 26, 2010

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251300000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

75 Carpenter St
Providence, RI 02903-3004

Phone: (401) 272-0881

Mailing address

75 CARPENTER ST

PROVIDENCE, RI 029033004

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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