E.P. MENNILLO M.D. INC NPI 1285857219

NPI Information

NPI: 1285857219
Provider Name: E.P. MENNILLO, M.D., INC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
994 RESERVOIR AVE
CRANSTON, RI
ZIP 02910
Phone: (401) 944-8422
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E.P. MENNILLO, M.D., INC is an adolescent medicine pediatrics in Cranston, RI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. E.P. MENNILLO, M.D., INC NPI is 1285857219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

994 RESERVOIR AVE
CRANSTON, RI
ZIP 02910-122
Phone: (401) 944-8422
Fax: (401) 942-6995

The provider's authorized official is Roger Mennillo .
The authorized official title is President and has the following contact phone number (401) 944-8422.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	03033	RHODE ISLAND	No
2	2080A0000X	Pediatrics	Adolescent Medicine	09221	RHODE ISLAND	Yes

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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