NPI Verification
National Provider Identifier: 1104564137
Brown Medicine
Organization
Primary Specialty
Internal Medicine, Endocrinology, Diabetes & Metabolism
Code: 207RE0101X
All Specialties (9)
Physician Assistant, Medical
Code: 363AM0700X
Allergy & Immunology
Code: 207K00000X
Internal Medicine
Code: 207R00000X
Internal Medicine, Infectious Disease
Code: 207RI0200X
Internal Medicine, Rheumatology
Code: 207RR0500X
Preventive Medicine, Addiction Medicine
Code: 2083A0300X
Nurse Practitioner
Code: 363L00000X
Nurse Practitioner, Family
Code: 363LF0000X
Internal Medicine, Endocrinology, Diabetes & Metabolism
Code: 207RE0101X
Practice Address
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: 401-444-7793
NPI Enumeration Date
May 20, 2022
NPI Number
1104564137Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry