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General NPI Number Information
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NPI Number | 1770577298
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Entity Type | Individual
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Provider Name | JOSEPH TERLATO MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 900 WARREN AVE SUITE 401
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-1430
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Country | US
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Telephone | 800-508-4908
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Fax | 401-228-6236
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Provider Business Mailing Address
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Address Line | 10 DAVOL SQ SUITE 400
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City | PROVIDENCE
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State | RI
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Zip | 02903-4754
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Country | US
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Telephone | 401-421-4000
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Fax | 401-272-1456
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD08852
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License Number State | RI
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