Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD08002 | RI |
N | 207VX0201X | Gynecologic Oncologist | MD08802 | RI |
N | 2086X0206X | Surgical Oncologist | MD08802 | RI |
NPI | 1346312717 |
---|---|
Provider Name | Stephen S Falkenberry |
First Address | Providence, RI 02905 |
Second Address | Woonsocket, RI 02895-3207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 30/12/2019 |