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Dr. David J Disanto, MD
Specialist in East Providence, Rhode Island
NPI 1720174501

David J Disanto is a Specialist based in East Providence, RI. David J Disanto practices in East Providence, RI and has the professional credentials of MD. The NPI Number for David J Disanto is 1720174501 and holds a License No. 5417 (Rhode Island).

The current practice location address for David J Disanto is 2464 Pawtucket Avenue, East Providence, RI and can be reached out via phone at 401-431-0226 and via fax at 401-434-3166.

Location: 2464 Pawtucket Avenue, East Providence, RI, 02914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720174501
Provider Name
David J Disanto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2464 Pawtucket Avenue, East Providence, RI, 02914
Phone Number
401-431-0226
Fax Number
401-434-3166
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002602 01 RI BLUE CHIP
DAM13785 01 MA MA BLUE CROSS
06-00102 01 RI UNHP
1603-8 01 RI BLUE CROSS
9001603 05 RI
institution
Provider Business Practice Location Address Details
Address
2464 Pawtucket Avenue
City
East Providence
State
Rhode Island
Zip
02914
Phone Number
401-431-0226
Fax Number
401-434-3166
person
Provider Business Mailing Address Details
Address
2464 Pawtucket Avenue
City
East Providence
State
Rhode Island
Zip
02914
Phone Number
401-431-0226
Fax Number
401-434-3166
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5417 (Rhode Island)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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