E.P. Mennillo, M.D., Inc in Cranston - Adolescent Medicine

E.P. Mennillo, M.D., Inc - NPI 1285857219

E.P. Mennillo, M.D., Inc is a Adolescent Medicine in Cranston, Rhode Island. E.P. Mennillo, M.D., Inc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for E.P. Mennillo, M.D., Inc is 1285857219. The last update date is 2020-08-22.

E.P. Mennillo, M.D., Inc's current location address is 994 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019448422 and fax number 4019426995. The mailing address for E.P. Mennillo, M.D., Inc is 994 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization E.P. Mennillo, M.D., Inc
Address 994 Reservoir Ave, Cranston, Rhode Island
Phone Number 4019448422
Fax Number 4019426995
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mennillo Roger
Credentials M.D.
Telephone Number 4019448422

NPI Number Detail

NPI Number 1285857219
Provider Enumeration Date 2007-04-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 994 Reservoir Ave
City Cranston
State Rhode Island (RI)
Post Code 29105122
Phone Number 4019448422
Fax Number 4019426995

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 3033
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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FAQs about E.P. Mennillo, M.D., Inc

What is the unique identifier code issued to E.P. Mennillo, M.D., Inc by the Centers for Medicare & Medicaid Services (CMS)?

The E.P. Mennillo, M.D., Inc has been assigned the NPI (National Provider Identifier) 1285857219. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of E.P. Mennillo, M.D., Inc?

The E.P. Mennillo, M.D., Inc is physically situated at 994 Reservoir Ave, in the city of Cranston, state of RI, with the postal code 29105122.

What is E.P. Mennillo, M.D., Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The E.P. Mennillo, M.D., Inc's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.

On what date was the 1285857219 assigned to E.P. Mennillo, M.D., Inc?

The E.P. Mennillo, M.D., Inc was issued its 1285857219 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding E.P. Mennillo, M.D., Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to E.P. Mennillo, M.D., Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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