Individual
PHILIP GRUPPUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6484
(401) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
06035
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006342
—
RI
Enumeration date
06/02/2006
Last updated
01/31/2008
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