Medeiros, Antone A

Medeiros, Antone A is an individual health care provider with primary practice located at 164 Summit Ave Fain Bldg., Suite E, Providence RI 02906-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Medeiros, Antone A can be contacted via phone (401) 793-2928.

Contact Information

Primary practice address
164 Summit Ave Fain Bldg., Suite E Providence RI 02906-2853
Phone: (401) 793-2928
Fax: (401) 793-7401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD05162 Rhode Island

Profile Details

NPI number 1063450393
LBN Legal business name Medeiros, Antone A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 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 1063450393 NPPES
Rhode Island MEDICAID 9001974

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