Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 10906 | RI |
NPI | 1235180126 |
---|---|
Provider Name | Julia A. Katarincic |
First Address | Providence, RI 02901-1119 |
Second Address | Providence, RI 02905-3236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 03/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7009925 | (05) | RI |
F88681 | (02) |