Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD09125 | RI |
Y | 208200000X | Surgeon | MD09125 | RI |
Y | 208600000X | Surgeon | MD09125 | RI |
NPI | 1134101850 |
---|---|
Provider Name | Paul E Morrissey |
First Address | Rumford, RI 02916-0697 |
Second Address | Providence, RI 02905-3236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 29/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9020418 | (05) | RI |
G46875 | (02) |