Nicholas Iannuccilli Md

LBN: Nicholas Iannuccilli Md
Nicholas Iannuccilli Md is an health care organization with primary practice located at 1515 Smith St , North Providence RI 02911-2947. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Nicholas Iannuccilli Md can be contacted via phone (401) 353-1600, or through Iannuccilli, Nicholas via phone (401) 353-1600.

Contact Information

Primary practice address
1515 Smith St North Providence RI 02911-2947
Phone: (401) 353-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iannuccilli, Nicholas Doctor of Medicine (MD)
Phone: (401) 353-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Rhode Island

Profile Details

NPI number 1811179906
LBN Legal business name Nicholas Iannuccilli Md
DBA Doing business as
Authorized official Iannuccilli, Nicholas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Feb 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811179906 NPPES
Rhode Island Other 0000000763 BCBS
Rhode Island MEDICAID 9000763 BCBS

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