Provider Demographics
NPI:1386610921
Name:D HALPREN RUDER INC
Entity type:Organization
Organization Name:D HALPREN RUDER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPREN-RUDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-231-7001
Mailing Address - Street 1:400 PUTNAM PIKE
Mailing Address - Street 2:SUITE E
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2408
Mailing Address - Country:US
Mailing Address - Phone:401-231-7001
Mailing Address - Fax:401-231-7388
Practice Address - Street 1:400 PUTNAM PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-2408
Practice Address - Country:US
Practice Address - Phone:401-231-7001
Practice Address - Fax:401-231-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIG66657Medicare UPIN
RID87297Medicare UPIN
RIE73558Medicare UPIN
RIE17942Medicare UPIN
RIBA9277636Medicare UPIN
RIG42960Medicare UPIN