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

Chartercare Roger Williams Medical Center

Organization Nutritionist · NPI 1376372243

Chartercare Roger Williams Medical Center is a Nutritionist in Providence, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
Fax: (401) 456-2029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Nutritionist Taxonomy 133N00000X

Record details

NPI number1376372243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Liebman — Ceo · (401) 456-2001
Other names Roger Williams Medical Center; Roger Williams Medical Center
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

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