Active NPIIndividual provider

Paul Larson

Family Medicine in Cranston, Rhode Island

NPI Number1952547424
Practice location
1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486
Fax
401-464-4071
Last updated
July 27, 2021

Paul Larson is a Family Medicine based in Cranston, RI. Paul Larson practices in Cranston, RI. The NPI Number for Paul Larson is 1952547424 and holds a License No. MD425506 (PA). The current practice location address for Paul Larson is 1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486 and can be reached out via phone at 401-944-4330 and via fax at 401-464-4071.

Provider Profile Details

NPI Number
1952547424
Provider Name
Paul Larson
Provider Entity Type
Individual
Gender
Male
Address
1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486
Phone Number
401-944-4330
Fax Number
401-464-4071
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 5, 2009
Last Update Date
July 27, 2021
Certification Date
July 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Pontiac Ave Ste 101
Cranston, RI 02920-4486
Zip
02920-4486
Phone Number
401-944-4330
Fax Number
401-464-4071
Cranston, RI 02920Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541
Phone Number
401-444-6779

License Information

License Number (1)
MD425506
License State (1)
PA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
MD17835
License State (2)
RI
Taxonomy (2)
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 Paul Larson?

The NPI number of Paul Larson is 1952547424. It was assigned on January 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Paul Larson?

Paul Larson is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number MD425506.

Where does Paul Larson practice?

The practice location is 1500 Pontiac Ave Ste 101, Cranston, RI 02920-4486. The office can be reached at 401-944-4330 (phone) or 401-464-4071 (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 1952547424 directly on the NPPES registry website.

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