Young, Gregory Robert

Young, Gregory Robert is an individual health care provider with primary practice located at 455 Toll Gate Rd , Warwick RI 02886-2759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Young, Gregory Robert can be contacted via phone (401) 737-7000.

Contact Information

Primary practice address
455 Toll Gate Rd Warwick RI 02886-2759
Phone: (401) 737-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD10478 Rhode Island
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 034430 Connecticut

Profile Details

NPI number 1790774073
LBN Legal business name Young, Gregory Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 20th, 2008 - about 17 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 1790774073 NPPES
Rhode Island MEDICAID 7008666

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