Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | RI9203 | RI |
N | 208200000X | Surgeon | RI9203 | RI |
N | 208600000X | Surgeon | RI9203 | RI |
NPI | 1710987656 |
---|---|
Provider Name | Anthony P. Monaco |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AM13521 | (05) | RI |
B98531 | (02) |