Individual
DR. HOWARD MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CENTERVILLE RD, THE SUMMIT EAST, SUITE 110, WARWICK, RI 02886-0200
(401) 615-2299
(401) 615-7529
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD06414
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002069601
MEDICARE
—
05
—
HM04312
—
RI
Enumeration date
05/24/2005
Last updated
06/10/2016
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