Healthcare Provider Details

I. General information

NPI: 1831116896
Provider Name (Legal Business Name): SANTINA SIENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 06/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 VETERANS MEMORIAL PKWY
EAST PROVIDENCE RI
02914-5300
US

IV. Provider business mailing address

450 VETERANS MEMORIAL PKWY STE 401
EAST PROVIDENCE RI
02914-5315
US

V. Phone/Fax

Practice location:
  • Phone: 401-434-7747
  • Fax: 401-434-7891
Mailing address:
  • Phone: 401-434-7747
  • Fax: 401-434-7891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD6055
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: