Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 11741 | RI |
NPI | 1003853037 |
---|---|
Provider Name | Mrs. Maria Z Starakiewicz |
First Address | Cumberland, RI 02864 |
Second Address | Cumberland, RI 02864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 08/07/2007 |