St Joseph Health Services of Rhode Island
St Joseph Health Services of Rhode Island provides Nutritionist services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2008.
- Licensed in
- RI
- In the registry since
- 2008
- Specialties on file
- 5
Practice location Address checks out
21 Peace StProvidence, RI 02907-1510 Not confirmed with CMS for 18 years — call before visiting
Phone: (401) 456-3309
Fax: (401) 456-3762
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence HOS00110 (RI) |
|---|---|
| Nutritionist | Taxonomy 133N00000X · Licence HOS00110 (RI) |
| Interpreter | Taxonomy 171R00000X · Licence HOS00110 (RI) |
| Endocrinology, Diabetes & Metabolism Physician | Taxonomy 207RE0101X · Licence HOS001100 (RI) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence HOS00110 (RI) |
Record details
| NPI number | 1114186715 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Fogerty — President - Ceo · (401) 456-3309 |
| NPI enumerated | June 9, 2008 |
| Last updated in NPPES | June 9, 2008 |
| Mailing address | 200 High Service Ave, 4th Fl Marion Hall, North Providence, RI 02904-5113 |
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MS. Jo-Ann Bergeron Polsky, BS, MPH, RD
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-
Prospect Chartercare Rwmc, LLC
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Providence Nutrition, LLC
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-
Roger Williams Medical Center
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