Healthcare Provider Details

I. General information

NPI: 1982915997
Provider Name (Legal Business Name): RAYMOND HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 01/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1598 S COUNTY TRL STE 100
EAST GREENWICH RI
02818-1627
US

IV. Provider business mailing address

PO BOX 1119
PROVIDENCE RI
02901-1119
US

V. Phone/Fax

Practice location:
  • Phone: 401-402-1071
  • Fax: 401-884-8723
Mailing address:
  • Phone: 401-443-4150
  • Fax: 401-443-4151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberLP02079
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number14893
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: