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Contact Information

GLENN S. PRESCOD, M.D., M.P.H., INC.
333 SCHOOL ST
SUITE 301
PAWTUCKET, RI02860-5334
 Phone: 401-725-3600
 Fax: 401-728-8760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GLENN S. PRESCOD, M.D., M.P.H., INC.

NPI Number 1114271053
LBN Legal business name GLENN S. PRESCOD, M.D., M.P.H., INC.
Authorized official GLENN PRESCOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2012
Last updated 12/12/2012 - About 13 years ago
Identifiers
RI License # 08767
RI Medicaid 9020656
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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