Provider Demographics
NPI:1114023017
Name:HADAMARD, ANTOINE F O (MD)
Entity Type:Individual
Prefix:MR
First Name:ANTOINE
Middle Name:F O
Last Name:HADAMARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 TOLL GATE RD
Mailing Address - Street 2:#302
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4482
Mailing Address - Country:US
Mailing Address - Phone:401-738-5060
Mailing Address - Fax:401-738-0096
Practice Address - Street 1:176 TOLL GATE RD
Practice Address - Street 2:#302
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4482
Practice Address - Country:US
Practice Address - Phone:401-738-5060
Practice Address - Fax:401-738-0096
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRHODEISLAND4545207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI109002100Medicare PIN
C89911Medicare UPIN