Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | LPR00062 | RI |
N | 222Z00000X | Podiatrist | LPR00062 | RI |
Y | 213ES0103X | Foot & Ankle Surgery | DPM00329 | RI |
NPI | 1023295631 |
---|---|
Provider Name | Eric D Meehan |
First Address | Warwick, RI 02888-3545 |
Second Address | Wakefield, RI 02879-4239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2008 |
Last Update Date | 11/08/2020 |