OrganizationActive
Provident Pain and Wellness Clinic
NPI 1639404635 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Newport, RI
Provider details
- NPI number
- 1639404635
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Raul Masing, Owner
- License
- 10503 (RI)
Practice location
19 Friendship St
Suite 160
Newport, RI 02840-2200
Phone: (401) 499-7771
Mailing address
75 Newman Ave
Rumford, RI 02916-3603
Registry dates
- Enumerated
- 2009-10-08
- Last updated
- 2011-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.