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

Coastal Medical Inc

Organization Family Medicine Physician · NPI 1609863828

Coastal Medical Inc is a Family Medicine Physician in Providence, Rhode Island. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
10
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

10 Davol Sq Ste 400
Providence, RI 02903-4754
Phone: (401) 421-4000
Fax: (401) 453-3258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Pediatrics Physician Taxonomy 208000000X
Hospitalist Physician Taxonomy 208M00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1609863828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meryl Moss — Coo · (401) 421-4000
NPI enumeratedOctober 3, 2005
Last updated in NPPESApril 1, 2016
Mailing address10 Davol Sq, Suite 400, Providence, RI 02903-4754

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