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General NPI Number Information
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NPI Number | 1700838281
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Entity Type | Individual
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Provider Name | BRIAN THOMAS RICE MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 434 ROUTE 134 SUITE C-2
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3433
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Country | US
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Telephone | 509-398-3617
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Fax |
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Provider Business Mailing Address
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Address Line | 59 SHERIDAN ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-2625
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Country | US
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Telephone | 518-793-0492
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 227193
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License Number State | MA
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