OrganizationActive
Eastside Neurology, Inc.
NPI 1407079643 · Neurology Physician · East Providence, RI
Provider details
- NPI number
- 1407079643
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Norman Gordon, President
- License
- 7343 (RI)
Practice location
450 Veterans Memorial Pkwy
Building 11
East Providence, RI 02914-5300
Phone: (401) 431-1860
Fax: (401) 435-0328
Mailing address
450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.