Maddock, Philip G

Maddock, Philip G is an sole proprietor health care provider with primary practice located at 450 Toll Gate Rd , Warwick RI 02886-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Maddock, Philip G can be contacted via phone (401) 732-2300.

Contact Information

Primary practice address
450 Toll Gate Rd Warwick RI 02886-2715
Fax: (401) 738-3450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD06159 Rhode Island

Profile Details

NPI number 1750437448
LBN Legal business name Maddock, Philip G
Credentials MD, FRCR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 9th, 2007 - about 18 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 1750437448 NPPES
Rhode Island MEDICAID 9000354

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