NPI 1720068307 · live from the CMS NPI Registry
Donnella Simone Comeau, MD PHD
Radiology, Diagnostic Radiology in Cumberland, RI. National Provider Identifier 1720068307, active.
NPI record
| NPI | 1720068307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 525 Broad St, Advanced Radiology, Cumberland, RI 02864 |
| Practice phone | 401-725-6736 |
| Mailing address | 190 Elmgrove Ave, Providence, RI 02906 |
| Enumerated | January 19, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | Donella Green |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 223820 (MA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD12003 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.