Provider Demographics
NPI:1184461113
Name:WOONSOCKET URGENT CARE, PC
Entity type:Organization
Organization Name:WOONSOCKET URGENT CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALLERA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:781-255-0500
Mailing Address - Street 1:NORWOOD PRIMARY CARE
Mailing Address - Street 2:103 PROVIDENCE HWY
Mailing Address - City:E WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032-1512
Mailing Address - Country:US
Mailing Address - Phone:781-255-0500
Mailing Address - Fax:781-255-0400
Practice Address - Street 1:NORWOOD PRIMARY CARE
Practice Address - Street 2:103 PROVIDENCE HWY
Practice Address - City:E WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032-1512
Practice Address - Country:US
Practice Address - Phone:781-255-0500
Practice Address - Fax:781-255-0400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOONSOCKET URGENT CARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty