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Jonathan G Sabourin, DPM
Podiatrist in Middletown, Rhode Island
NPI 1306809603

Jonathan G Sabourin is a Podiatrist based in Middletown, RI. Jonathan G Sabourin practices in Middletown, RI and has the professional credentials of DPM. The NPI Number for Jonathan G Sabourin is 1306809603 and holds a License No. DPM00316 (Rhode Island).

The current practice location address for Jonathan G Sabourin is 850 Aquidneck Ave Ste 15, Middletown, RI and can be reached out via phone at 401-849-2157 and via fax at 401-848-8441.

Location: 850 Aquidneck Ave Ste 15, Middletown, RI, 02842-7280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306809603
Provider Name
Jonathan G Sabourin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
850 Aquidneck Ave Ste 15, Middletown, RI, 02842-7280
Phone Number
401-849-2157
Fax Number
401-848-8441
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212867 01 RI BLUE CROSS BLUE SHIELD
7056541 05 RI
411583 01 RI BLUE CHIP
institution
Provider Business Practice Location Address Details
Address
850 Aquidneck Ave Ste 15
City
Middletown
State
Rhode Island
Zip
02842-7280
Phone Number
401-849-2157
Fax Number
401-848-8441
person
Provider Business Mailing Address Details
Address
850 Aquidneck Ave Ste 15
City
Middletown
State
Rhode Island
Zip
02842-7280
Phone Number
401-849-2157
Fax Number
401-848-8441
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2210 (Massachusetts)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
DPM00316 (Rhode Island)
Definition
Definition to come...
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