Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD07513 | RI |
N | 207R00000X | Internist | MD07513 | RI |
N | 111NI0900X | Internist | MD07513 | RI |
N | 207RP1001X | Pulmonary Disease | MD07513 | RI |
NPI | 1053443978 |
---|---|
Provider Name | Donn R Quinn |
First Address | Smithfield, RI 02917-2408 |
Second Address | Cumberland, RI 02864-3844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 16/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E53326 | (02) | RI |