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

E.P. MENNILLO, M.D., INC

Active Organization

E.P. MENNILLO, M.D., INC is a Adolescent Medicine (Pediatrics) organization located in CRANSTON, Rhode Island. NPI 1285857219 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · CRANSTON, RI

Registration Details

NPI Number
1285857219
Provider Type
Organization
NPI Issued
Apr 10, 2007 (19.37196575369 yrs)
Last Updated
Aug 22, 2020
Licenses
03033 (RI)
09221 (RI)

Practice Information

Address
994 RESERVOIR AVE
CRANSTON, RI, 029105122
Browse RI providers · Browse ZIP 02910
Phone
4019448422
Fax
4019426995
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.