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Contact Information

HAROLD J WANEBO MD LLC
1165 N MAIN ST
2ND FLOOR
PROVIDENCE, RI02904-5740
 Phone: 401-529-2828
 Fax: 401-943-1958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HAROLD J WANEBO MD LLC · (Female)

NPI # 1740609981
Status Active
Credentials
Entity Individual
Enumeration date 04/15/2014
Last updated 03/26/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # MD07200
  • RI Medicaid 9006428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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