Whalio Doctors

NPI 1235439639

Governor Diagnostic and Treatment Center

Organisation Developmental - Behavioral Pediatrics Physician Providence, RI

Practice location

Address
293 Governor St, Providence, RI 02906-3220
Phone
(401) 351-5730
Fax
(401) 331-6260

Authorised official

Name
Daniel Toby Marwil
Title
Sole Proprietor
Phone
(401) 351-5730

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 5984 (RI)

Registry record

NPI
1235439639
Entity type
Organization
NPI issued
1 Nov 2010
Record last updated
1 Nov 2010

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.