Hillstrom, Mary M

Hillstrom, Mary M is an individual health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Hillstrom, Mary M can be contacted via phone (401) 432-2520.

Contact Information

Primary practice address
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1785
Phone: (401) 432-2520
Fax: (401) 453-8220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 151888 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 8660 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD08660 Rhode Island

Profile Details

NPI number 1245228105
LBN Legal business name Hillstrom, Mary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 25th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245228105 NPPES
Other 008660 TUFTS
Other 003109817 TUFTS
Other 007006235 TUFTS
Other 008660 TUFTS
Other 240081 TUFTS
Other 3200388 TUFTS
MEDICAID 3200388 TUFTS
Other 300084316 TUFTS
Other 000000001988 TUFTS
Other 004950 TUFTS
Other 7003975 TUFTS
Other 8660 TUFTS
Other 1600203 TUFTS
Other 720071101 TUFTS

Popular Providers