David B Ettensohn in Pawtucket - Pulmonary Disease

David B Ettensohn - NPI 1134186067

David B Ettensohn is a Pulmonary Disease in Pawtucket, Rhode Island. David B Ettensohn practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for David B Ettensohn is 1134186067. The last update date is 2013-09-20.

David B Ettensohn's current location address is 73 Beechwood Avenue, Pawtucket, Rhode Island. You can contact this provider via phone number 4017244040 and fax number 4017229575. The mailing address for David B Ettensohn is 73 Beechwood Avenue, Pawtucket, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name David B Ettensohn
Address 73 Beechwood Avenue, Pawtucket, Rhode Island
Phone Number 4017244040
Fax Number 4017229575
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1134186067
Provider Enumeration Date 2006-04-26
Last Updated Date 2013-09-20

Provider Mailing Address Detail

Address 73 Beechwood Avenue
City Pawtucket
State Rhode Island (RI)
Post Code 2860
Phone Number 4017244040
Fax Number 4017229575

Provider's Primary Taxonomy Detail

Speciality Pulmonary Disease
Taxonomy 207Rp1001X
Licence No 6164
Definition:
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6164 RI RI MEDICAL LICENSE #
7000422 RI --

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FAQs about David B Ettensohn

What is the unique identifier code issued to David B Ettensohn by the Centers for Medicare & Medicaid Services (CMS)?

The David B Ettensohn has been assigned the NPI (National Provider Identifier) 1134186067. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where David B Ettensohn is located?

The David B Ettensohn is situated at the following address: 73 Beechwood Avenue, Pawtucket, RI, 2860.

What is David B Ettensohn's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David B Ettensohn is Pulmonary Disease, and the taxonomy code that categorizes this field of expertise is 207Rp1001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134186067 to David B Ettensohn?

The Centers for Medicare & Medicaid Services assigned the 1134186067 to David B Ettensohn on 2006-04-26.

As of what date was the information regarding David B Ettensohn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David B Ettensohn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-20.

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