NPI Profile for ROGER WILLIAMS MEDICAL CENTER in PROVIDENCE, RI.
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Addiction Psychiatry |
2084P0802X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1457395998 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/15/2006 | |
| Last updated | 03/13/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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ROGER WILLIAMS MEDICAL CENTER
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