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HASSAN-ETTENSOHN MEDICAL SPECIALISTS LTD NPI 1861613200


NPI Information

NPI: 1861613200
Provider Name: HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD

Doing Business As: HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
73 BEECHWOOD AVE
PAWTUCKET, RI
ZIP 02860
Phone: (401) 724-4040
Get Directions

HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD is a pulmonary disease internal medicine in Pawtucket, RI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD NPI is 1861613200. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hassan-ettensohn Medical Specialists, Ltd.

The provider's business location address is:

73 BEECHWOOD AVE
PAWTUCKET, RI
ZIP 02860-409
Phone: (401) 724-4040
Fax: (401) 722-9575

The provider's authorized official is David Bruce Ettensohn .
The authorized official title is Vice President and has the following contact phone number (401) 724-4040.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/6/2010.


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
1207RC0200XInternal MedicineCritical Care Medicine6164RHODE ISLANDNo
2207RC0200XInternal MedicineCritical Care Medicine9817RHODE ISLANDNo
3207RH0003XInternal MedicineHematology & Oncology6245RHODE ISLANDNo
4207RP1001XInternal MedicinePulmonary Disease6164RHODE ISLANDNo
5207RP1001XInternal MedicinePulmonary Disease9817RHODE 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
1119096996MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLANDGROUP MEDICARE NUMBER

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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