Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Side Surgical Group Inc

Organization Specialist · NPI 1043496359

East Side Surgical Group Inc provides Specialist services in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2008.

Licensed in
RI
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

407 E Ave Ste 200
Pawtucket, RI 02860-5299 Not confirmed with CMS for 11 years — call before visiting
Phone: (401) 312-0023
Fax: (401) 312-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence RI5011 (RI)

Record details

NPI number1043496359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Cohen — President · (401) 312-0023
Other names Breast Health
NPI enumeratedJanuary 16, 2008
Last updated in NPPESNovember 5, 2014
Mailing address407 East Avenue, Suite 200, Pawtucket, RI 02860-5299

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