Provider Demographics
NPI:1851373377
Name:NARRAGANSETT FAMILY PRACTICE
Entity Type:Organization
Organization Name:NARRAGANSETT FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:997-893-9213
Mailing Address - Street 1:570 BALDWINVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BALDWINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01436-1351
Mailing Address - Country:US
Mailing Address - Phone:978-939-2133
Mailing Address - Fax:978-939-8580
Practice Address - Street 1:570 BALDWINVILLE RD
Practice Address - Street 2:
Practice Address - City:BALDWINVILLE
Practice Address - State:MA
Practice Address - Zip Code:01436-1351
Practice Address - Country:US
Practice Address - Phone:978-939-2133
Practice Address - Fax:978-939-8580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty