Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 7966 | RI |
NPI | 1023039740 |
---|---|
Provider Name | Dennis Joseph Aumentado |
First Address | Woonsocket, RI 02895-3927 |
Second Address | Woonsocket, RI 02895-3927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 14/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202044 | BLUECHIP (01) | |
728570 | TUFTS (01) | |
E55631 | (02) |