NPI 1508814062 · live from the CMS NPI Registry
Michael Jan Hulstyn, M.D.
Orthopaedic Surgery, Sports Medicine in Providence, RI. National Provider Identifier 1508814062, active.
NPI record
| NPI | 1508814062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 2 Dudley St, Ste 200, Providence, RI 02905 |
| Practice phone | 401-457-1530 |
| Mailing address | Po Box 1119, Providence, RI 02901 |
| Enumerated | May 5, 2006 |
| Last updated | June 3, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | MD08456 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.