Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 13536 | MA |
Y | 1223X0400X | Orthodontists | DEN1762 | RI |
NPI | 1043221476 |
---|---|
Provider Name | Nicholas D Barone |
First Address | N Providence, RI 02904-7648 |
Second Address | N Providence, RI 02904-7648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |