Healthcare Provider Details

I. General information

NPI: 1154371102
Provider Name (Legal Business Name): JAMES FRANCIS GRIFFIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KENYON AVE
WAKEFIELD RI
02879-4216
US

IV. Provider business mailing address

PO BOX 230
WAKEFIELD RI
02880-0230
US

V. Phone/Fax

Practice location:
  • Phone: 401-782-8000
  • Fax: 401-789-3450
Mailing address:
  • Phone: 401-788-0196
  • Fax: 401-789-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDO00472
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: