Organization
EAR NOSE & THROAT MEDICINE AND SURGERY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH A MURPHY (OFFICE MANAGER)
(401) 849-4448
Entity
Organization
Contact information
Practice address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7244
(401) 849-4448
(401) 849-6479
Mailing address
850 AQUIDNECK AVE, MIDDLETOWN, RI 02842-7244
(401) 849-4448
(401) 849-6479
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002519
BLUE CROSS BLUE SHIELD
RI
01
—
0334
NEIGHBORHOOD HEALTH PLAN
RI
01
—
739270
TUFTS
RI
05
—
9000136
—
RI
01
—
CA0758
RAILROAD MEDICARE
RI
05
—
EN11261
—
RI
Enumeration date
09/20/2006
Last updated
05/01/2015
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