Whalio Doctors

NPI 1114186715

St Joseph Health Services of Rhode Island

Organisation Family Medicine Physician Providence, RI

Practice location

Address
21 Peace St, Providence, RI 02907-1510
Phone
(401) 456-3309
Fax
(401) 456-3762
Mailing address
200 High Service Ave 4th Fl Marion Hall, North Providence, RI 02904-5113

Authorised official

Name
John Fogerty
Title
President - Ceo
Phone
(401) 456-3309

Registered specialties (5)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence HOS00110 (RI)
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence HOS00110 (RI)
Interpreter
Other Service Providers Taxonomy 171R00000X Licence HOS00110 (RI)
Endocrinology, Diabetes & Metabolism Physician
Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence HOS001100 (RI)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence HOS00110 (RI)

Registry record

NPI
1114186715
Entity type
Organization
NPI issued
9 Jun 2008
Record last updated
9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.