Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 10537 | RI |
NPI | 1023189370 |
---|---|
Provider Name | Joseph D. Pianka |
First Address | Portsmouth, RI 02871-1396 |
Second Address | Portsmouth, RI 02871-1396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 02/11/2007 |