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UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY INC. NPI 1245350958


NPI Information

NPI: 1245350958
Provider Name: UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC.
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 41D2132873

Address:
830 EDDY ST
PROVIDENCE, RI
ZIP 02905
Phone: (401) 274-2300
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UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. is an otolaryngology in Providence, RI. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. NPI is 1245350958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 EDDY ST
PROVIDENCE, RI
ZIP 02905-810
Phone: (401) 274-2300
Fax: (401) 232-8057

The provider's authorized official is Joseph Raymond Maloney .
The authorized official title is Director Of Finance and has the following contact phone number (401) 885-8484.

The CLIA number assigned to this NPI record is 41D2132873 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 11/6/2020.


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
1207Y00000XOtolaryngologyMD03762RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U020134MEDICAIDRHODE ISLAND

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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