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Organization

UNIVERSITY OTOLARYNGOLOGY HEAD & NECK SURGERY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER T NIGRI M.D. (PRESIDENT)
(401) 272-2300
Entity
Organization

Contact information

Practice address
116 MAIN ST, WAKEFIELD, RI 02879-3566
(401) 782-4400
(401) 782-4994
Mailing address
116 MAIN ST, WAKEFIELD, RI 02879-3566
(401) 782-4400
(401) 782-4994

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
9418
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9020447
RI
Enumeration date
09/14/2010
Last updated
08/15/2012
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