IndividualActive
Jonathan Tatum
NPI 1285138586 · Pediatric Endocrinology Physician · Providence, RI
Provider details
- NPI number
- 1285138586
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Practice location
111 Plain Street 3rd Floor Suite 101
Providence, RI 02902-3026
Phone: (401) 444-5504
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.