=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831116896
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SANTINA SIENA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2006
-----------------------------------------------------
Last Update Date | 06/28/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 450 VETERANS MEMORIAL PKWY
-----------------------------------------------------
City | EAST PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02914-5300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-434-7747
-----------------------------------------------------
Fax | 401-434-7891
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 450 VETERANS MEMORIAL PKWY STE 401
-----------------------------------------------------
City | EAST PROVIDENCE
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02914-5315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-434-7747
-----------------------------------------------------
Fax | 401-434-7891
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | MD6055
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------