Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | RI7567 | RI |
NPI | 1043205537 |
---|---|
Provider Name | Thomas Henry Mcgreen |
First Address | Cranston, RI 02920-6068 |
Second Address | Cranston, RI 02920-6068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E58912 | (02) | RI |
IM02288 | (05) | RI |