Organization · Type 2 NPI
University Otolaryngology Head & Neck Surgery Inc.
Facial Plastic Surgery Physician · Wakefield, RI
NPI number
1164730065
Active
Practice location
116 Main St
Wakefield, RI 02879-3566
Fax (401) 782-4994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | 9418 (RI) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1164730065
University Otolaryngology Head & Neck Surgery Inc.'s National Provider Identifier is 1164730065, issued on Sep 14, 2010. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Wakefield, RI. The record was last updated on Aug 15, 2012.