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

Edgewood Medical LLC

Organization Internal Medicine Physician · NPI 1952501421

Edgewood Medical LLC is an Internal Medicine Physician in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

251 Park Ave 2nd Fl
Cranston, RI 02905-2647
Phone: (401) 275-0700
Fax: (401) 275-0775
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD10514 (RI)

Record details

NPI number1952501421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Polanco — Medical Director · (401) 275-0700
NPI enumeratedJuly 23, 2007
Last updated in NPPESSeptember 9, 2008
Mailing address251 Park Ave, 2nd Floor, Cranston, RI 02905-2647

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