Individual
WILLIAM ANTHONY PALUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1637 MINERAL SPRING AVE, SUITE 111, N PROVIDENCE, RI 02904-4042
(401) 353-0330
Mailing address
1637 MINERAL SPRING AVE, SUITE 111, N PROVIDENCE, RI 02904-4042
(401) 353-5224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7181
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007056510
MEDICARE ID-TYPE UNSPECIFIED
RI
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE NPI
—
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
202145
BLUE CHIP
RI
01
—
20333-3
BLUE CROSS
RI
05
—
7004455
—
RI
01
—
7181
MEDICAL LICENCE
RI
Enumeration date
01/10/2007
Last updated
03/07/2023
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