Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 01082349A | IN |
N | 208000000X | Pediatrician | LP03669 | RI |
NPI | 1487001467 |
---|---|
Provider Name | Dr. Molly Curtis |
First Address | Providence, RI 02903-4923 |
Second Address | Providence, RI 02903-4923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2016 |
Last Update Date | 25/06/2019 |