Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD046931 | DC |
Y | 207YP0228X | Pediatric Otolaryngology | MD17094 | RI |
NPI | 1881000172 |
---|---|
Provider Name | Maria Koenigs |
First Address | East Greenwich, RI 02818-5105 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2014 |
Last Update Date | 16/09/2020 |