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GREEN LINE EXPRESS LLC 1043989288

Overview
Name: GREEN LINE EXPRESS LLC Specialty: Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: . Definition of Specialty: A facility or distinct part of one used for the diagnosis and treatment of outpatients. “Clinic/Center” is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: GREEN LINE EXPRESS LLC,245 MAIN ST,WAKEFIELD,RI,028793527,US Mailing Address: GREEN LINE EXPRESS LLC,245 MAIN ST,WAKEFIELD,RI,028793527,US
Contact #
Practice location phone #: 4013603500 Practice location fax #: Mailing address Phone #: Mailing Address fax #: Authorized official Name/Telephone #:CHRISTINA, PROCACCIANTI, PHARMD, FACILITY ADMINISTRATOR 4013603200
Misc
Date NPI was obtained: 09/10/2021 Last data data was updated: 09/10/2021 Insurances:

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