Provider Demographics
NPI:1245456011
Name:MARANO, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:MARANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 S COUNTY TRL
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-5098
Mailing Address - Country:US
Mailing Address - Phone:401-884-0020
Mailing Address - Fax:401-884-0019
Practice Address - Street 1:1672 S COUNTY TRL
Practice Address - Street 2:SUITE 303
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5098
Practice Address - Country:US
Practice Address - Phone:401-884-0020
Practice Address - Fax:401-884-0019
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD13256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine