Provider Demographics
NPI:1558621599
Name:HURLEY, EDWARD HOWARD (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:HOWARD
Last Name:HURLEY
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Gender:
Credentials:MD
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:101 DUDLEY ST
Practice Address - Street 2:WIH PEDIATRICS/NEONATOLOGY
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-2401
Practice Address - Country:US
Practice Address - Phone:401-274-1122
Practice Address - Fax:401-453-7571
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2025-02-26
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Provider Licenses
StateLicense IDTaxonomies
RIMD150492080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine