Basic Information
Provider Information
NPI: 1841511946
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: AMY
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 117 ELLENFIELD ST STE 101
Address2:  
City: PROVIDENCE
State: RI
PostalCode: 029054541
CountryCode: US
TelephoneNumber: 4014446779
FaxNumber:  
Practice Location
Address1: 950 WARREN AVE STE 201
Address2:  
City: EAST PROVIDENCE
State: RI
PostalCode: 029141432
CountryCode: US
TelephoneNumber: 4016061004
FaxNumber: 4016061153
Other Information
ProviderEnumerationDate: 06/13/2010
LastUpdateDate: 07/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X244485MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RA0001X252077MAN    
207RC0000X252077MAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RA0001XMD16783RIY    

No ID Information.


Home