Organization · Type 2 NPI
E.p. Mennillo, M.d., Inc
Pediatric Adolescent Medicine Physician · Cranston, RI
NPI number
1285857219
Active
Practice location
994 Reservoir Ave
Cranston, RI 02910-5122
Fax (401) 942-6995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 09221 (RI) |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 03033 (RI) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
3 other providers at this address
About NPI 1285857219
E.p. Mennillo, M.d., Inc's National Provider Identifier is 1285857219, issued on Apr 10, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Cranston, RI. The record was last updated on Aug 22, 2020.