Roderick, Paul William

Roderick, Paul William is an individual health care provider with primary practice located at 1150 Reservoir Ave Suite 201, Cranston RI 02920-6068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Roderick, Paul William can be contacted via phone (401) 943-1300.

Contact Information

Primary practice address
1150 Reservoir Ave Suite 201 Cranston RI 02920-6068
Phone: (401) 943-1300
Fax: (401) 946-8480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X RI5529 Rhode Island

Profile Details

NPI number 1831183904
LBN Legal business name Roderick, Paul William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 24th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831183904 NPPES
Rhode Island MEDICAID IM02288

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