DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER GRANT BUDACKI, D.O.

Active

DR. JENNIFER GRANT BUDACKI, D.O. is a Pediatrics healthcare provider located in MIDDLETOWN, Rhode Island. NPI 1073879870 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MIDDLETOWN, RI

Registration Details

NPI Number
1073879870
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2012 (14.32521317784 yrs)
Last Updated
Dec 16, 2019
Licenses
OS017608 (PA)
DO00939 (RI)

Practice Information

Address
1272 W MAIN RD
MIDDLETOWN, RI, 028426405
Browse RI providers · Browse ZIP 02842
Phone
4018472290
Fax
4018498446
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in MIDDLETOWN, RI

Name Credential NPI
WENDY P REGAN MD 1982617767
CASEY ELDERT MD 1750540571
BROOKE ROEBUCK MD 1386905073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.