Pamela Jo San Antonio in Warwick - Pediatrics

Pamela Jo San Antonio - NPI 1215913215

Pamela Jo San Antonio is a Pediatrics in Warwick, Rhode Island. Pamela Jo San Antonio practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pamela Jo San Antonio is 1215913215. The last update date is 2014-04-16.

Pamela Jo San Antonio's current location address is 161 Airport Road, Warwick, Rhode Island. You can contact this provider via phone number 4017374282 and fax number 4017386896. The mailing address for Pamela Jo San Antonio is 161 Airport Road, Warwick, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Jo San Antonio
Address 161 Airport Road, Warwick, Rhode Island
Phone Number 4017374282
Fax Number 4017386896
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1215913215
Provider Enumeration Date 2005-12-21
Last Updated Date 2014-04-16

Provider Mailing Address Detail

Address 161 Airport Road
City Warwick
State Rhode Island (RI)
Post Code 2889
Phone Number 4017374282
Fax Number 4017386896

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 6409
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9920040 RI --
A3417A HARVARD PILGRIM INS
1200217 UNITED HEALTH PLAN
200408 RI BCBS
406495 TUFTS HEALTH PLAN
6591 RI NEIGHBORHOOD HEALTH PLAN
4720780 CIGNA INSURANCE
201242 RI CHCP BLUE CHIP
6409 RI STATE LICENSE

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FAQs about Pamela Jo San Antonio

What is the unique provider identifier assigned to Pamela Jo San Antonio?

The Pamela Jo San Antonio has been issued the NPI (National Provider Identifier) 1215913215 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Pamela Jo San Antonio's facilities are geographically located?

The facilities of Pamela Jo San Antonio are physically situated at the following location: 161 Airport Road, Warwick, RI, 2889.

What is the Pamela Jo San Antonio's area of specialization and corresponding taxonomy classification?

The Pamela Jo San Antonio's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did the Pamela Jo San Antonio receive its 1215913215 assignment from the Centers for Medicare & Medicaid Services?

The Pamela Jo San Antonio was assigned its 1215913215 by the Centers for Medicare & Medicaid Services on 2005-12-21.

When was the information pertaining to Pamela Jo San Antonio most recently updated or revised?

The details related to Pamela Jo San Antonio, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-16.

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