Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | MD16419 | RI |
NPI | 1356673271 |
---|---|
Provider Name | Joshua Nathanael Honeyman |
First Address | Rumford, RI 02916-0697 |
Second Address | Providence, RI 02905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 29/01/2020 |