Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 3926 | CT |
Y | 207RR0500X | Rheumatology | MD10564 | RI |
NPI | 1073560330 |
---|---|
Provider Name | Mr. Christopher A. D'arcy |
First Address | Westerly, RI 02891 |
Second Address | Westerly, RI 02891 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 19/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003110054 | (05) | CT |
007657164 | (05) | RI |
66003953 | RAILROAD MEDICARE (01) | |
9025551 | (05) | RI |
CR40894 | (05) | RI |
H38872 | (02) |