Provider Demographics
NPI:1386833127
Name:ARTHRITIS CENTER OF RHODE ISLAND, INC.
Entity Type:Organization
Organization Name:ARTHRITIS CENTER OF RHODE ISLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KADMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-333-2784
Mailing Address - Street 1:132 OLD RIVER RD
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-1161
Mailing Address - Country:US
Mailing Address - Phone:401-333-2784
Mailing Address - Fax:401-333-1110
Practice Address - Street 1:132 OLD RIVER RD
Practice Address - Street 2:SUITE B-2
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-1161
Practice Address - Country:US
Practice Address - Phone:401-333-2784
Practice Address - Fax:401-333-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI207RR0500X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI605797OtherTUFTS
RI2801OtherNHPRI
RI202331OtherHARVARD PILGRIM HEALTCARE
RI605797OtherTUFTS