Dr. Clifford J Fields
Emergency Physician Family Doctor - Addiction Medicine
1524 Atwood Ave Ste 437
Johnston
, Rhode Island 02919-3228
Dr. Clifford J Fields
Emergency Physician Family Doctor - Addiction Medicine
1524 Atwood Ave Ste 437
Johnston
, Rhode Island 02919-3228
(401) 524-7034
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About
Features
Specialties
- Emergency Physician
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Clifford J Fields
- 43 Elmgrove Ave
- Providence, RI
- Zip : 02906-4103
- Phone : (401) 524-7034
Second Address
- Dr. Clifford J Fields
- 1524 Atwood Ave Ste 437
- Johnston, RI
- Zip : 02919-3228
- Fax : (401) 383-9572
- Phone : (401) 383-9570
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 74935 | MA |
| N | 207P00000X | Emergency Physician | DO 00356 | RI |
| Y | 207P00000X | Emergency Physician | DO2808 | ME |
| N | 207QA0401X | Family Doctor - Addiction Medicine | DO00356 | RI |
National Provider Identifier
| NPI | 1619901147 |
|---|---|
| Provider Name | Dr. Clifford J Fields |
| First Address | Providence, RI 02906-4103 |
| Second Address | Johnston, RI 02919-3228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 06/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| DO00356 | OSTEOPATHIC PHYSICIAN (01) | RI |
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.