Doctor Name: | DR. GUY A.E. GEFFROY |
NPI Number: | 1033113477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | RI3248 |
Business Practice Address: | 500 Sycamore Ln Wakefield, RI - 028795327 |
Business Phone Number: | 4017832055 |
Business Fax Number: | 4017833349 |
Mailing Address: | 500 Sycamore Ln, WAKEFIELD |
State: | RI |
Postal Code: | 028795327 |
Phone Number: | 4017832055 |
Fax Number: | 4017833349 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/16/2006 |
NPI Reactivation Date: | 03/20/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | RI3248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |