E.p. Mennillo, M.d., Inc
Pediatric Adolescent Medicine
E.p. Mennillo, M.d., Inc is a Cranston, Rhode Island based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
994 Reservoir Ave, Cranston, Rhode Island - 02910-5122. They can be contacted on phone at
401-944-8422 and fax number 401-942-6995.
NPI number (Unique professional ID) for E.p. Mennillo, M.d., Inc is
1285857219 which was assigned by NPPES on 10 Apr, 2007 and it was last updated on 22 Aug, 2020.
E.p. Mennillo, M.d., Inc license number is
09221 for Pediatrics Adolescent Medicine (2080A0000X) in Rhode Island.
E.p. Mennillo, M.d., Inc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
E.p. Mennillo, M.d., Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | E.p. Mennillo, M.d., Inc |
|---|
Business Address:
E.p. Mennillo, M.d., Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 994 Reservoir Ave
Cranston, RI, 02910-5122
United States |
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| Phone Number : | 401-944-8422 |
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| Fax Number : | 401-942-6995 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285857219 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Apr, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Roger Mennillo |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 401-944-8422 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for E.p. Mennillo, M.d., Inc are as mentioned. Primary taxonomy code for E.p. Mennillo, M.d., Inc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 03033 | RI |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 09221 | RI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 994 Reservoir Ave
Cranston, RI, 02910-5122
United States |
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| Phone Number : | 401-944-8422 |
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| Fax Number : | 401-942-6995 |
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Business Location:
Patients can refer following map for directions to
E.p. Mennillo, M.d., Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.