Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | RI5673 | RI |
NPI | 1265499966 |
---|---|
Provider Name | Leonard Field Hubbard |
First Address | Cranston, RI 02920 |
Second Address | Cranston, RI 02920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 29/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000023643 | BCBC OF RI (01) | RI |
001072 | BLUE CHIP OF RI (01) | RI |
7002910 | (05) | RI |
C49644 | (02) |