Provider Demographics
NPI:1720065287
Name:TALIANO, ROSS JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:JAMES
Last Name:TALIANO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:593 EDDY ST
Mailing Address - Street 2:RHODE ISLAND HOSPITAL DEPARTMENT OF PATHOLOGY
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-5057
Mailing Address - Fax:401-444-8514
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:RHODE ISLAND HOSPITAL DEPARTMENT OF PATHOLOGY
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5057
Practice Address - Fax:401-444-8514
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA159498207ZP0102X
RIMD13641207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3198871Medicaid
MAG93048Medicare UPIN
MA3198871Medicaid