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

Memorial Hospital

Organization Dermatology Physician · NPI 1063441640

Memorial Hospital is a Dermatology Physician in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
Specialties on file
15
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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4400
Phone: (401) 729-2836
Fax: (401) 729-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence HOS00128 (RI)
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Neurology Physician Taxonomy 2084N0400X
General Practice Physician Taxonomy 208D00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1063441640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Francis Dietz — Ceo/ President · (401) 729-2130
Other names Memorial Hospital Of Rhode Island
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 30, 2007
Mailing addressPo Box 1908, Pawtucket, RI 02862-1908

Other providers in Pawtucket