Healthcare Provider Details

I. General information

NPI: 1346354156
Provider Name (Legal Business Name): JEANNINE GIOVANNI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RHODE ISLAND SURGEONS, INC 1539 ATWOOD AVENUE SUITE 201
JOHNSTON RI
02919-3262
US

IV. Provider business mailing address

1000 PROVIDENCE PL #255
PROVIDENCE RI
02903-1761
US

V. Phone/Fax

Practice location:
  • Phone: 401-521-6310
  • Fax: 401-861-9596
Mailing address:
  • Phone: 860-965-1994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD12222
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: