Provider Demographics
NPI:1063777464
Name:MAY, TODD WARREN (DO, MHS)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:WARREN
Last Name:MAY
Suffix:
Gender:M
Credentials:DO, MHS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15 HEALTH LN
Mailing Address - Street 2:BUILDING 2-D
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2710
Mailing Address - Country:US
Mailing Address - Phone:401-736-4646
Mailing Address - Fax:401-736-4248
Practice Address - Street 1:15 HEALTH LN BLDG 2-D
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2710
Practice Address - Country:US
Practice Address - Phone:401-736-4646
Practice Address - Fax:401-736-4248
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO00819207R00000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine