Individual
JUAN CARLOS CANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 TOLL GATE ROAD, WARWICK, RI 02886
(401) 737-0005
(401) 737-9880
Mailing address
390 TOLL GATE ROAD, SUITE 106, WARWICK, RI 02886
(401) 737-0005
(401) 737-9880
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD08361
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005431222
AETHA
—
01
—
202318
BCBS
RI
01
—
203814
BLUE CHIP
—
01
—
4946763
CIGNA
—
01
—
7500061
UNITED HEALTH
—
01
—
767476
TUFTS
—
05
—
9020231
—
RI
Enumeration date
11/20/2006
Last updated
07/06/2010
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