Provider Demographics
NPI:1427179910
Name:DOYLE, JOHN W (MED)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOFFMAN PL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2627
Mailing Address - Country:US
Mailing Address - Phone:401-849-7943
Mailing Address - Fax:
Practice Address - Street 1:8 HOFFMAN PL
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2627
Practice Address - Country:US
Practice Address - Phone:401-849-7943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist