Richard A Peloquin in Providence - Medical

Richard A Peloquin - NPI 1164464772

Richard A Peloquin is a Medical in Providence, Rhode Island. Richard A Peloquin practices all healthcare services and medical treatments related to Medical. The NPI Number for Richard A Peloquin is 1164464772. The last update date is 2010-05-17.

Richard A Peloquin's current location address is 100 Butler Dr, Providence, Rhode Island. You can contact this provider via phone number 4012770790. The mailing address for Richard A Peloquin is 100 Butler Dr, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard A Peloquin
Address 100 Butler Dr, Providence, Rhode Island
Phone Number 4012770790
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1164464772
Provider Enumeration Date 2006-06-11
Last Updated Date 2010-05-17

Provider Mailing Address Detail

Address 100 Butler Dr
City Providence
State Rhode Island (RI)
Post Code 29064862
Phone Number 4012770790
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA00096
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7006485 RI --
979006370 RI MEDICARE PTAN

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FAQs about Richard A Peloquin

What is the unique 10-digit identification code issued to Richard A Peloquin by the Centers for Medicare & Medicaid Services?

The Richard A Peloquin has been assigned the NPI (National Provider Identifier) 1164464772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Richard A Peloquin's facilities are situated?

The facilities of Richard A Peloquin are physically located at the following address: 100 Butler Dr, Providence, RI, 29064862.

What is Richard A Peloquin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard A Peloquin is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Richard A Peloquin receive its 1164464772 assignment from the Centers for Medicare & Medicaid Services?

The Richard A Peloquin was assigned its 1164464772 by the Centers for Medicare & Medicaid Services on 2006-06-11.

When was the information related to Richard A Peloquin most recently updated or refreshed?

The details pertaining to the Richard A Peloquin, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-17.

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