Leddy, Thomas Raymond

Leddy, Thomas Raymond is an individual health care provider with primary practice located at 390 Toll Gate Rd Suite 112, Warwick RI 02886-4326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Leddy, Thomas Raymond can be contacted via phone (401) 732-2662.

Contact Information

Primary practice address
390 Toll Gate Rd Suite 112 Warwick RI 02886-4326
Fax: (401) 732-2669
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD04438 Rhode Island

Profile Details

NPI number 1689631699
LBN Legal business name Leddy, Thomas Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1689631699 NPPES
Rhode Island MEDICAID 9000459

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