INTEGRA COMMUNITY CARE NETWORK, LLC Managers, Officers and Committee Members Board of Managers PCP Div. Name and Address Specialist Class Term Vote I Azam, Munawar M. (MD) PCP-community Provider 7.15.14 to Yes Adult Health Associates, Inc. 7.31.16 1351 South County Trail, Ste. 215 East Greenwich, RI 02818 Telephone: 401.886.9700 Email: I Furey, Christopher M. (MD) PCP-CNE employed Provider 7.15.14 to Yes 215 Toll Gate Road, Ste. 104 7.31.16 Warwick, RI 02886 Telephone: 401.736.4570 Email: I Lancellotti, Guy (MD) Specialist (Surgery) Provider 7.15.14 to Yes Kent Surgical Associates, Inc. 7.31.16 227 Centerville Road Warwick, RI 02886 Telephone: 401.737.4828 Email: I Rosenberg, Mark (MD) PCP-community Provider 7.15.14 to Yes Family Health & Sports Medicine, LLC 7.31.16 725 Reservoir Avenue, Suite 102 Cranston, RI 02910 Telephone: 401.943.6910 Email: I Fanale, Jim (MD) N/A Corporate 10.22.15 to Yes 45 Willard Avenue 7.31.16 Providence, RI 02905 Telephone: 401.___.____ Email: II Mansourati, Fadi (MD) PCP-community Provider 10.28.14 to Yes 966 Mineral Spring Avenue 7.31.17 North Providence, RI 02904 Telephone: 401.475.4063 Email: II Diaz, Joseph A. (MD) PCP-CNE employed Provider 7.15.14 to Yes Memorial Hospital of Rhode Island 7.31.17 Department of Medicine 111 Brewster Street Pawtucket, RI 02860 Telephone: 401.729.3100 Email:
INTEGRA COMMUNITY CARE NETWORK, LLC Managers, Officers and Committee Members Board of Managers Div. Name and Address PCP Specialist Class Term Vote I Azam, Munawar M. (MD) Adult Health Associates, Inc. 1351 South County Trail, Ste. 215 East Greenwich, RI 02818 Telephone: 401.886.9700 Email: PCP-community Provider 7.15.14 to 7.31.16 Yes I Furey, Christopher M. (MD) 215 Toll Gate Road, Ste. 104 Warwick, RI 02886 Telephone: 401.736.4570 Email: PCP-CNE employed Provider 7.15.14 to 7.31.16 Yes I Lancellotti, Guy (MD) Kent Surgical Associates, Inc. 227 Centerville Road Warwick, RI 02886 Telephone: 401.737.4828 Email: Specialist (Surgery) Provider 7.15.14 to 7.31.16 Yes I Rosenberg, Mark (MD) Family Health & Sports Medicine, LLC 725 Reservoir Avenue, Suite 102 Cranston, RI 02910 Telephone: 401.943.6910 Email: PCP-community Provider 7.15.14 to 7.31.16 Yes I Fanale, Jim (MD) 45 Willard Avenue Providence, RI 02905 Telephone: 401.___.____ Email: N/A Corporate 10.22.15 to 7.31.16 Yes II Mansourati, Fadi (MD) 966 Mineral Spring Avenue North Providence, RI 02904 Telephone: 401.475.4063 Email: PCP-community Provider 10.28.14 to 7.31.17 Yes II Diaz, Joseph A. (MD) Memorial Hospital of Rhode Island Department of Medicine 111 Brewster Street Pawtucket, RI 02860 Telephone: 401.729.3100 Email: PCP-CNE employed Provider 7.15.14 to 7.31.17 Yes
Integra-Managers-Officers-Committees.docx