Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD04846 | RI |
NPI | 1013059476 |
---|---|
Provider Name | Dr. Christian Rene Herard |
First Address | Warwick, RI 02886-4448 |
Second Address | Warwick, RI 02886-4448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 16/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001021 | BLUE CHIP RI (01) | RI |
7287 | BLUE CROSS RI (01) | RI |
7600208 | UNITED HEALTH CARE (01) | |
9000728 | (05) | RI |
C90423 | (02) |