NPI 1720066889 · live from the CMS NPI Registry
Joan C Desantis, MD
Radiology, Diagnostic Radiology in Pawtucket, RI. National Provider Identifier 1720066889, active.
NPI record
| NPI | 1720066889 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Brewster St, Pawtucket, RI 02860 |
| Practice phone | 401-729-2339 |
| Mailing address | 98 Carruth Rd, Templeton, MA 01468 |
| Enumerated | January 8, 2006 |
| Last updated | March 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 19404 (NH) |
| Radiology, Diagnostic Radiology | 2085R0202X | 042.0012958 (VT) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD11944 (RI) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 74797 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.