Healthcare Provider Details

I. General information

NPI: 1841249935
Provider Name (Legal Business Name): RHODE ISLAND HAND CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 RESERVOIR AVENUE
CRANSTON RI
02920
US

IV. Provider business mailing address

1150 RESERVOIR AVENUE SUITE 301
CRANSTON RI
02920
US

V. Phone/Fax

Practice location:
  • Phone: 401-942-0280
  • Fax: 401-942-7230
Mailing address:
  • Phone: 401-942-0280
  • Fax: 401-942-7230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LEONARD FIELD HUBBARD
Title or Position: PRESIDENT OWNER
Credential: MD
Phone: 401-942-0280