Individual
DR. JOSE I HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3136
(401) 456-3621
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3136
(401) 456-3621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD07625
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002964
—
RI
Enumeration date
05/06/2006
Last updated
01/28/2010
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