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NPI 1245228105 · live from the CMS NPI Registry

Mary M Hillstrom, MD

Radiology, Diagnostic Radiology in Warwick, RI. National Provider Identifier 1245228105, active.

NPI record

NPI1245228105 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location125 Metro Center Blvd Ste 2000, Warwick, RI 02886
Practice phone401-432-2520
EnumeratedOctober 13, 2005
Last updatedMarch 25, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X151888 (MA)
Radiology, Diagnostic Radiology2085R0202X8660 (RI)
Radiology, Diagnostic Radiology primary2085R0202XMD08660 (RI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.