E.p. Mennillo, MD, Inc

Organization Pediatric Adolescent Medicine Physician · NPI 1285857219

E.p. Mennillo, MD, Inc is a Pediatric Adolescent Medicine Physician in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in: RI
In the registry since: 2007
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

994 Reservoir Ave
Cranston, RI 02910-5122
Phone: (401) 944-8422
Fax: (401) 942-6995

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary)	Taxonomy 2080A0000X · Licence 09221 (RI)
Pediatric Adolescent Medicine Physician	Taxonomy 2080A0000X · Licence 03033 (RI)

Record details

NPI number	1285857219
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Roger Mennillo — President · (401) 944-8422
NPI enumerated	April 10, 2007
Last updated in NPPES	August 22, 2020
Mailing address	994 Reservoir Ave, Cranston, RI 02910-5122