Provider Demographics
NPI:1447312574
Name:FIRST PHYSICIANS CORP
Entity type:Organization
Organization Name:FIRST PHYSICIANS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KASDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1508-679-7041
Mailing Address - Street 1:6 GREAT MEADOWS LANE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865
Mailing Address - Country:US
Mailing Address - Phone:140-133-3441
Mailing Address - Fax:
Practice Address - Street 1:6 GREAT MEADOWS LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-3823
Practice Address - Country:US
Practice Address - Phone:401-333-4411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216045282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital