Antone A Medeiros
Infectious Disease
164 Summit Ave Fain Bldg., Suite E
Providence
, Rhode Island 02906-2853
Antone A Medeiros
Infectious Disease
164 Summit Ave Fain Bldg., Suite E
Providence
, Rhode Island 02906-2853
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Antone A Medeiros
- Po Box 1358
- Providence, RI
- Zip : 02901-1358
- Phone :
Second Address
- Antone A Medeiros
- 164 Summit Ave Fain Bldg., Suite E
- Providence, RI
- Zip : 02906-2853
- Fax : (401) 793-7401
- Phone : (401) 793-2928
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Is Antone A Medeiros a sole practitioner?
Is Antone A Medeiros accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | MD05162 | RI |
National Provider Identifier
| NPI | 1063450393 |
|---|---|
| Provider Name | Antone A Medeiros |
| First Address | Providence, RI 02901-1358 |
| Second Address | Providence, RI 02906-2853 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9001974 | (05) | RI |
| C90215 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.