Provider Demographics
NPI:1851847230
Name:ARMISTICE ORTHOPEDICS, LLC.
Entity Type:Organization
Organization Name:ARMISTICE ORTHOPEDICS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-725-4100
Mailing Address - Street 1:209 ARMISTICE BLVD
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3242
Mailing Address - Country:US
Mailing Address - Phone:401-725-4100
Mailing Address - Fax:401-728-5010
Practice Address - Street 1:209 ARMISTICE BLVD
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3242
Practice Address - Country:US
Practice Address - Phone:401-725-4100
Practice Address - Fax:401-728-5010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-26
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD12555207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty