Individual provider · NPI-1

Dr. David C Anthony, MD

Family Medicine · Pawtucket, RI

NPI number1508847377
StatusActive
Last updated in NPPESJul 9, 2024

Details

NPI
1508847377
Entity type
Individual (NPI-1)
Name
Dr. David C Anthony
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 9, 2005
Certification date
Jul 9, 2024
Last updated
Jul 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD10417RIYes

Practice location

111 Brewster St
Memorial Hospital Of Ri/ Dept. Of Family Medicine
Pawtucket, RI 02860-4400

Phone 401-729-2769 · Fax 401-729-2772

Mailing address

111 Brewster St
Pawtucket, RI 02860-4400

Phone 401-729-3481 · Fax 401-729-2721

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