Organization
UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RAYMOND MALONEY (DIRECTOR OF FINANCE)
(401) 885-8484
Entity
Organization
Contact information
Practice address
830 EDDY ST, PROVIDENCE, RI 02905-4810
(401) 274-2300
(401) 232-8057
Mailing address
1351 S COUNTY TRL STE 304, E GREENWICH, RI 02818-5083
(401) 885-8484
(401) 232-8057
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD03762
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
U020134
—
RI
Enumeration date
03/29/2007
Last updated
11/06/2020
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