Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD15795 | RI |
Y | 111NI0900X | Internist | MD15795 | RI |
N | 207RH0002X | Hospice and Palliative Medicine | MD15795 | RI |
NPI | 1003179060 |
---|---|
Provider Name | Martha Catherine Trimbur |
First Address | Providence, RI 02905-4541 |
Second Address | Providence, RI 02905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2012 |
Last Update Date | 18/06/2019 |