Active NPIIndividual provider

Matilda Addo, MD

Family Medicine in Pawtucket, Rhode Island

NPI Number1649383241
Practice location
111 Brewster Street, Fcc Team B, Pawtucket, RI 02860
Fax
401-729-3495
Last updated
July 8, 2007

Matilda Addo is a Family Medicine based in Pawtucket, RI. Matilda Addo practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Matilda Addo is 1649383241 and holds a License No. LP00093 (RI). The current practice location address for Matilda Addo is 111 Brewster Street, Fcc Team B, Pawtucket, RI 02860 and can be reached out via phone at 401-729-2206 and via fax at 401-729-3495.

Provider Profile Details

NPI Number
1649383241
Provider Name
Matilda Addo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 Brewster Street, Fcc Team B, Pawtucket, RI 02860
Phone Number
401-729-2206
Fax Number
401-729-3495
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster Street
Fcc Team B
Pawtucket, RI 02860
Zip
02860
Phone Number
401-729-2206
Fax Number
401-729-3495
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
111 Brewster Street
Fcc Team B
Pawtucket, RI 02860
City
Pawtucket
State
RI
Zip
02860
Phone Number
401-729-2206
Fax Number
401-729-3495

License Information

License Number
LP00093
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Matilda Addo, MD?

The NPI number of Matilda Addo, MD is 1649383241. It was assigned on August 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Matilda Addo, MD?

Matilda Addo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP00093.

Where does Matilda Addo, MD practice?

The practice location is 111 Brewster Street, Fcc Team B, Pawtucket, RI 02860. The office can be reached at 401-729-2206 (phone) or 401-729-3495 (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 1649383241 directly on the NPPES registry website.

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