OrganizationActive
Providence Interventional Associates II LLC
NPI 1497220412 · Ambulatory Surgical Clinic/Center · Providence, RI
Provider details
- NPI number
- 1497220412
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonah Licht, Owner(401) 277-9729
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
100 Highland Ave Ste 100
Providence, RI 02906-2740
Phone: (401) 277-9729
Fax: (401) 277-9730
Approximate (ZIP-level) locationGet directions
Mailing address
100 Highland Ave Ste 100
Providence, RI 02906-2740
Other names (DBA / former)
- Doing business as
- Providence Access Care
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.