Individual provider · Type 1 NPI

Jonathan David Tatum

Pediatric Endocrinology Physician · Providence, RI

NPI number 1285138586 Active

Practice location

111 Plain Street 3rd Floor Suite 101
Providence, RI 02902-3026

Call (401) 444-5504 Map

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Endocrinology Physician Primary 2080P0205XMD19694 (RI)

Pediatric Endocrinology Physician: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

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About NPI 1285138586

Jonathan David Tatum's National Provider Identifier is 1285138586, issued on Mar 21, 2018. The primary taxonomy on file is Pediatric Endocrinology Physician (2080P0205X), and the practice location is in Providence, RI. The record was last updated on Aug 6, 2024.