Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A73262 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 280789 | MA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R3472 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | RI16691 | RI |
NPI | 1063560969 |
---|---|
Provider Name | Leah Ruth Battista |
First Address | Providence, RI 02905-4541 |
Second Address | Providence, RI 02904-2615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 20/08/2019 |