Provider Demographics
NPI:1760526214
Name:OCEAN STATE PEDIATRICS INC
Entity Type:Organization
Organization Name:OCEAN STATE PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:SILVERSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-886-7881
Mailing Address - Street 1:1672 S COUNTY TRL STE 201
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5099
Mailing Address - Country:US
Mailing Address - Phone:401-886-7881
Mailing Address - Fax:
Practice Address - Street 1:1672 S COUNTY TRL STE 201
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5099
Practice Address - Country:US
Practice Address - Phone:401-886-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-17
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI10269208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty