Individual
MICHAEL ECONOMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 TOLLGATE ROAD, SUITE 106, WARWICK, RI 02886-4326
(401) 732-5600
(401) 734-9400
Mailing address
215 TOLL GATE RD, SUITE 106, WARWICK, RI 02886-4458
(401) 732-5600
(401) 734-9400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD9195
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025255
—
RI
Enumeration date
08/08/2006
Last updated
08/10/2011
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