Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD05973 | RI |
NPI | 1033291570 |
---|---|
Provider Name | Thomas D Denucci |
First Address | Providence, RI 02905-4406 |
Second Address | Riverside, RI 02915-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 27/07/2016 |