Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD12716 | RI |
NPI | 1720204480 |
---|---|
Provider Name | Dr. Thomas F Della Torre |
First Address | Providence, RI 02904-2615 |
Second Address | Providence, RI 02904-2615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 02/12/2019 |