Phoenix House Of New England

Specialty details in registry · Wakefield, RI

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At a glance

1058 Kingstown Rd, Wakefield, RI 02879-2487

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

1058 Kingstown Rd
Wakefield, RI 02879-2487
Professional details: NPI, taxonomy & registry record
NPI1790804292
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Mar 28, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: 00100 RI

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

Practice location

1058 Kingstown Rd
Wakefield, RI 02879-2487
Phone
(401) 783-0782
Fax
(401) 783-1154
Mailing address
1058 KINGSTOWN RD

WAKEFIELD, RI 028792487
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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