Organization
PENNY KADMON,M.D., INC
Active
Other names
Penny Kadmon, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY KADMON M.D. (PRESIDENT)
(401) 780-5557
Entity
Organization
Contact information
Practice address
725 RESERVOIR AVE, SUITE 306, CRANSTON, RI 02910-4448
(401) 780-5557
Mailing address
PO BOX 2337, PROVIDENCE, RI 02906-0337
(401) 780-5557
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD09667
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008664
—
RI
Enumeration date
06/03/2009
Last updated
12/20/2010
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