Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 4584 | RI |
NPI | 1033132816 |
---|---|
Provider Name | Dr. William M Corrao |
First Address | East Greenwich, RI 02818-1620 |
Second Address | East Greenwich, RI 02818-1620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9001985 | (05) | RI |
C90098 | (02) | RI |