Provider Demographics
NPI:1699025650
Name:CENTER OF NEW ENGLAND PRIMARY CARE INC
Entity Type:Organization
Organization Name:CENTER OF NEW ENGLAND PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:FARINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:401-351-1900
Mailing Address - Street 1:775 CENTRE OF NEW ENGLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-6099
Mailing Address - Country:US
Mailing Address - Phone:401-351-1900
Mailing Address - Fax:401-270-3080
Practice Address - Street 1:775 CENTRE OF NEW ENGLAND BLVD
Practice Address - Street 2:
Practice Address - City:WEST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02817-6099
Practice Address - Country:US
Practice Address - Phone:401-351-1900
Practice Address - Fax:401-270-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty