Wellformed AI

NPI 1780191684 · live from the CMS NPI Registry

Matthew Hoyer

Radiology, Diagnostic Radiology in East Providence, RI. National Provider Identifier 1780191684, active.

NPI record

NPI1780191684 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location450 Veterans Memorial Pkwy Bldg 2, East Providence, RI 02914
Practice phone401-432-2400
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886
EnumeratedJanuary 2, 2018
Last updatedJanuary 19, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XMD20743 (RI)
Radiology, Diagnostic Radiology2085R0202X1022315 (MA)

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