Healthcare Provider Details

I. General information

NPI: 1134437627
Provider Name (Legal Business Name): DANIELA TURACOVA MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 TAUNTON AVENUE SUITE 100
EAST PROVIDENCE RI
02914-1604
US

IV. Provider business mailing address

525 TAUNTON AVENUE SUITE 100
EAST PROVIDENCE RI
02914-1604
US

V. Phone/Fax

Practice location:
  • Phone: 401-438-0888
  • Fax:
Mailing address:
  • Phone: 401-438-0888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD10178
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD11232
License Number StateRI

VIII. Authorized Official

Name: DR. DANIELA TURACOVA
Title or Position: OWNER
Credential: M.D.
Phone: 401-438-0888