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 is a Specialist 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
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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