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

Prospect Chartercare Rwmc, LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1760977136

Prospect Chartercare Rwmc, LLC is an Addiction Medicine (Internal Medicine) Physician in Providence, Rhode Island. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
Fax: (401) 456-2029
Show map & directions

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

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1760977136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Elders — Secretary · (714) 788-1249
NPI enumeratedJune 27, 2018
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021
Mailing address825 Chalkstone Ave, Providence, RI 02908-4728

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