CENTERVILLE PODIATRY LLC NPI 1073634374

NPI Information

CENTERVILLE PODIATRY LLC is a sports medicine podiatrist in Warwick, RI. CENTERVILLE PODIATRY LLC NPI is 1073634374. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

469 CENTERVILLE RD
SUITE 105
WARWICK, RI
ZIP 02886-354
Phone: (401) 738-9200
Fax: (401) 738-9400

The provider's authorized official is Christine Cabral .
The authorized official title is Office Manager and has the following contact phone number (401) 738-9200.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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