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Dr. Joseph Terlato
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Joseph Terlato |
| Gender: | M |
| Provider License Number If Given: | MD08852 |
NPI Information:
| NPI: | 1770577298 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 1/19/2016 |
Provider Business Mailing Address:
| Address: | 10 DAVOL SQ SUITE 400 Providence, RI 02903 |
| Phone Number: | 4014214000 |
| Fax Number: | 4012721456 |
Provider Business Practice Location Address:
| Address: | 900 WARREN AVE SUITE 401 East Providence, RI 02914 |
| Phone Number: | 8005084908 |
| Fax Number: | 4012286236 |
Provider Taxonomy:
| Primary: | 207RC0000X |
| Secondary (if any): | |
| State: | RI |
