Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5879 | RI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 5879 | RI |
NPI | 1316980121 |
---|---|
Provider Name | Anthony J Barone |
First Address | Cranston, RI 02910 |
Second Address | Cranston, RI 02910-4448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 25/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200847 | BLUE CHIP (01) | RI |
294676 | BLUE CROSS BLUE SHEILD (01) | RI |
711930 | TUFTS (01) | RI |
9000443 | (05) | RI |
C89901 | (02) | RI |