Healthcare Provider Details

I. General information

NPI: 1093861049
Provider Name (Legal Business Name): RI EAR NOSE & THROAT PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 W RIVER ST STE 2A
PROVIDENCE RI
02904-2615
US

IV. Provider business mailing address

148 W RIVER ST STE 2A
PROVIDENCE RI
02904-2615
US

V. Phone/Fax

Practice location:
  • Phone: 401-728-0140
  • Fax: 401-727-1979
Mailing address:
  • Phone: 401-728-0140
  • Fax: 401-727-1979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARTIN R PAPUZIAN
Title or Position: PARTNER
Credential: MD
Phone: 401-616-1719