GOVERNOR DIAGNOSTIC AND TREATMENT CENTER - NPI 1235439639

Q: What is Governor Diagnostic And Treatment Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

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About Governor Diagnostic And Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOVERNOR DIAGNOSTIC AND TREATMENT CENTER (NPI 1235439639) is a healthcare organization registered as a developmental - behavioral pediatrics in Providence, Rhode Island and active in the NPI registry since November 2010. The organization lists Daniel Toby Marwil, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1235439639

Entity TypeOrganization

Primary Taxonomy2080P0006X

Legal Business NameGOVERNOR DIAGNOSTIC AND TREATMENT CENTER

Location Address293 GOVERNOR STProvidence, RI 02906-3220

Mailing Address293 Governor StProvidence, RI 02906-3220 · (401) 351-5730 · Fax (401) 331-6260

Phone(401) 351-5730

Fax(401) 331-6260

Organization SubpartNo

Authorized OfficialDaniel Toby MarwilSole Proprietor · (401) 351-5730

Enumeration DateNovember 1, 2010

✔ NPI 1235439639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in RI · 5984

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

293 GOVERNOR ST, Providence, RI 02906

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY P NUGENT

Nurse Practitioner (Pediatrics)