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GOVERNOR DIAGNOSTIC AND TREATMENT CENTER NPI 1235439639


NPI Information

NPI: 1235439639
Provider Name: GOVERNOR DIAGNOSTIC AND TREATMENT CENTER
Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
293 GOVERNOR ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 351-5730
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GOVERNOR DIAGNOSTIC AND TREATMENT CENTER is a developmental - behavioral pediatrics pediatrics in Providence, RI. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. GOVERNOR DIAGNOSTIC AND TREATMENT CENTER NPI is 1235439639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

293 GOVERNOR ST
PROVIDENCE, RI
ZIP 02906-220
Phone: (401) 351-5730
Fax: (401) 331-6260

The provider's authorized official is Daniel Toby Marwil .
The authorized official title is Sole Proprietor and has the following contact phone number (401) 351-5730.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/1/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics5984RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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