NPI 1255386868

Providence Urology, LLC

Organisation Urology Physician Providence, RI

Practice location

Address: 1165 N Main St Suite 200, Providence, RI 02904-5740
Phone: (401) 521-4333
Fax: (401) 521-4377
Mailing address: 340 Main St STE. 670, Worcester, MA 01608-1604

Authorised official

Name: Harry M Iannotti
Title: President
Phone: (401) 521-4333

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Rhode Island →

Registry record

NPI: 1255386868
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 6 Dec 2011

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.