NPI 1972579183
Maxillofacial Surgeons, LTD.
Practice location
- Address
- 243 Jefferson Blvd, Warwick, RI 02888-3818
- Phone
- (401) 739-5500
- Fax
- (401) 738-1550
Authorised official
- Name
- Anthony R Petito
- Title
- President
- Phone
- (401) 739-5500
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1972579183
- Entity type
- Organization
- NPI issued
- 27 Feb 2006
- Record last updated
- 22 Aug 2020
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.