| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1689668709 | ALLEN | THOMAS | F | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 | |
| 1841338886 | CAYER | THOMAS | E | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 | |
| 1447221866 | ETIENNE | ALEX | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 | ||
| 1962409649 | ETTER | GREGG | M | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 | |
| 1922037159 | SARLAK | SOUDABEH | ABBEY | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 | |
| 1598762346 | SUD | PUNEET | 825 CHALKSTONE AVE | PROVIDENCE | RI | 029084728 |