Gruppuso, Philip
Gruppuso, Philip is an individual health care provider with primary practice located at 593 Eddy St Hasbro 122, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Gruppuso, Philip can be contacted via phone (401) 444-6484.Contact Information
Primary practice address
593 Eddy St Hasbro 122
Providence RI 02903-4923
Phone: (401) 444-6484
Fax: (401) 444-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 06035 | Rhode Island |
Profile Details
| NPI number | 1962440131 |
|---|---|
| LBN Legal business name | Gruppuso, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jan 31st, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962440131 | NPPES |
| Rhode Island | MEDICAID | 9006342 |
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