Healthcare Provider Details

I. General information

NPI: 1861694069
Provider Name (Legal Business Name): ROBERT H. JANIGIAN JR. MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 DUDLEY ST SUITE 303
PROVIDENCE RI
02905-2436
US

IV. Provider business mailing address

P. O. BOX 848817
BOSTON MA
02284-8817
US

V. Phone/Fax

Practice location:
  • Phone: 401-369-7773
  • Fax: 401-369-7336
Mailing address:
  • Phone: 401-369-7773
  • Fax: 401-369-7336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberRI8336
License Number StateRI

VIII. Authorized Official

Name: DR. ROBERT H. JANIGIAN JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-369-7773