Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 280699 | MA |
NPI | 1225444607 |
---|---|
Provider Name | Nathan David Howlett |
First Address | Warwick, RI 02886-4336 |
Second Address | Warwick, RI 02886-4336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2014 |
Last Update Date | 30/07/2020 |