Governor Diagnostic And Treatment Center
Pediatrics, Developmental - Behavioral Pediatrics in Providence, Rhode Island
1235439639- Practice location
- 293 Governor St, Providence, RI 02906-3220
- Phone
- 401-351-5730
- Fax
- 401-331-6260
- Last updated
- November 1, 2010
Governor Diagnostic And Treatment Center is a healthcare organization based in Providence, RI. Governor Diagnostic And Treatment Center practices in Providence, RI. The NPI Number for Governor Diagnostic And Treatment Center is 1235439639 and holds a License No. 5984 (RI). The current practice location address for Governor Diagnostic And Treatment Center is 293 Governor St, Providence, RI 02906-3220 and can be reached out via phone at 401-351-5730 and via fax at 401-331-6260.
Provider Profile Details
- NPI Number
- 1235439639
- Provider Name
- Governor Diagnostic And Treatment Center
- Provider Entity Type
- Organization
- Address
- 293 Governor St, Providence, RI 02906-3220
- Phone Number
- 401-351-5730
- Fax Number
- 401-331-6260
- Primary Taxonomy
- Pediatrics, Developmental - Behavioral Pediatrics · 2080P0006X
- Organization Subpart
- No
- Authorized Official
- Dr. Daniel Toby Marwil · Sole Proprietor · 401-351-5730
- Provider Enumeration Date
- November 1, 2010
- Last Update Date
- November 1, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 293 Governor St
Providence, RI 02906-3220 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-3220
- Phone Number
- 401-351-5730
- Fax Number
- 401-331-6260
Provider Business Mailing Address Details
- Address
- 293 Governor St
Providence, RI 02906-3220 - City
- Providence
- State
- RI
- Zip
- 02906-3220
- Phone Number
- 401-351-5730
- Fax Number
- 401-331-6260
License Information
- License Number
- 5984
- License State
- RI
- Taxonomy
- Pediatrics, Developmental - Behavioral Pediatrics · 2080P0006X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Governor Diagnostic And Treatment Center?
The NPI number of Governor Diagnostic And Treatment Center is 1235439639. It was assigned on November 1, 2010 and is currently active in the NPPES registry.
What is the specialty of Governor Diagnostic And Treatment Center?
Governor Diagnostic And Treatment Center is registered under the primary taxonomy Pediatrics, Developmental - Behavioral Pediatrics (code 2080P0006X), licensed in RI under license number 5984.
Where does Governor Diagnostic And Treatment Center practice?
The practice location is 293 Governor St, Providence, RI 02906-3220. The office can be reached at 401-351-5730 (phone) or 401-331-6260 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235439639 directly on the NPPES registry website.