Provider Demographics
NPI:1134120157
Name:PERRONE, HOWARD FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:FRANCIS
Last Name:PERRONE
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 1:1180 HOPE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-1126
Mailing Address - Country:US
Mailing Address - Phone:401-253-8900
Mailing Address - Fax:401-253-3131
Practice Address - Street 1:1180 HOPE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1126
Practice Address - Country:US
Practice Address - Phone:401-253-8900
Practice Address - Fax:401-253-3131
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD 5477207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI697703OtherHARVARD PILGRIM HEALTH
RI110226503OtherRAILROAD MEDICARE
RI9001044Medicaid
RI0000001044OtherB/S
RI001762OtherBCHIP
RI406178OtherTUFTS HEALTH PLAN
RI3869OtherNEIGHBORHOOD HEALTH
RI04-00385OtherUNITED HEALTH CARE
RI110226503OtherRAILROAD MEDICARE
D33214Medicare UPIN
RI9001044Medicaid