Active NPIOrganization

Hassan-Ettensohn Medical Specialists, LTD

Internal Medicine, Pulmonary Disease in Pawtucket, Rhode Island

NPI Number1861613200
Practice location
73 Beechwood Ave, Pawtucket, RI 02860-5409
Fax
401-722-9575
Last updated
July 6, 2010

Hassan-Ettensohn Medical Specialists, LTD is a healthcare organization based in Pawtucket, RI. Hassan-Ettensohn Medical Specialists, LTD practices in Pawtucket, RI. The NPI Number for Hassan-Ettensohn Medical Specialists, LTD is 1861613200 and holds a License No. 6164 (RI). The current practice location address for Hassan-Ettensohn Medical Specialists, LTD is 73 Beechwood Ave, Pawtucket, RI 02860-5409 and can be reached out via phone at 401-724-4040 and via fax at 401-722-9575.

Provider Profile Details

NPI Number
1861613200
Provider Name
Hassan-Ettensohn Medical Specialists, LTD
Provider Entity Type
Organization
Address
73 Beechwood Ave, Pawtucket, RI 02860-5409
Phone Number
401-724-4040
Fax Number
401-722-9575
Primary Taxonomy
Internal Medicine, Pulmonary Disease · 207RP1001X
Organization Subpart
No
Authorized Official
Dr. David Bruce Ettensohn, MD · Vice President · 401-724-4040
Other Names
Hassan-Ettensohn Medical Specialists, LTD (Doing Business As)
Provider Enumeration Date
May 2, 2007
Last Update Date
July 6, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Beechwood Ave
Pawtucket, RI 02860-5409
Zip
02860-5409
Phone Number
401-724-4040
Fax Number
401-722-9575
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
73 Beechwood Ave
Pawtucket, RI 02860-5409
City
Pawtucket
State
RI
Zip
02860-5409
Phone Number
401-724-4040
Fax Number
401-722-9575

License Information

License Number (1)
6164
License State (1)
RI
License Number (2)
9817
License State (2)
RI
License Number (3)
6245
License State (3)
RI
License Number (4)
6164
License State (4)
RI
Taxonomy (4)
Internal Medicine, Pulmonary Disease · 207RP1001X
License Number (5)
9817
License State (5)
RI
Taxonomy (5)
Internal Medicine, Pulmonary Disease · 207RP1001X · 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 Hassan-Ettensohn Medical Specialists, LTD?

The NPI number of Hassan-Ettensohn Medical Specialists, LTD is 1861613200. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Hassan-Ettensohn Medical Specialists, LTD?

Hassan-Ettensohn Medical Specialists, LTD is registered under the primary taxonomy Internal Medicine, Pulmonary Disease (code 207RP1001X), licensed in RI under license number 6164.

Where does Hassan-Ettensohn Medical Specialists, LTD practice?

The practice location is 73 Beechwood Ave, Pawtucket, RI 02860-5409. The office can be reached at 401-724-4040 (phone) or 401-722-9575 (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 1861613200 directly on the NPPES registry website.

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