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 1548696941

Memorial Hospital is a Dermatology Physician in Pawtucket, Rhode Island. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
15
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Practice location Address checks out

111 Brewster St
Pawtucket, RI 02860-4474
Phone: (401) 729-2250
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
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1548696941
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Hospital
Authorized official Christopher Dacey — Director Pho · (401) 273-0641
Other names Mhri Professionall Billing
NPI enumeratedSeptember 18, 2013
Last updated in NPPESFebruary 19, 2014
Mailing addressPo Box 418999, Boston, MA 02241-8999

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