Active NPIOrganization

Blackstone Valley Foot And Ankle INC.

Podiatrist, Foot & Ankle Surgery in Pawtucket, Rhode Island

NPI Number1720482193
Practice location
345 Armistice Blvd, Pawtucket, RI 02861-2429
Fax
401-725-2640
Last updated
April 24, 2017

Blackstone Valley Foot And Ankle INC. is a healthcare organization based in Pawtucket, RI. Blackstone Valley Foot And Ankle INC. practices in Pawtucket, RI. The NPI Number for Blackstone Valley Foot And Ankle INC. is 1720482193 and holds a License No. DPM00327 (RI). The current practice location address for Blackstone Valley Foot And Ankle INC. is 345 Armistice Blvd, Pawtucket, RI 02861-2429 and can be reached out via phone at 401-725-5576 and via fax at 401-725-2640.

Provider Profile Details

NPI Number
1720482193
Provider Name
Blackstone Valley Foot And Ankle INC.
Provider Entity Type
Organization
Address
345 Armistice Blvd, Pawtucket, RI 02861-2429
Phone Number
401-725-5576
Fax Number
401-725-2640
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Joseph Kevin Domenico, DPM · Owner · 401-725-5576
Provider Enumeration Date
October 14, 2014
Last Update Date
April 24, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Armistice Blvd
Pawtucket, RI 02861-2429
Zip
02861-2429
Phone Number
401-725-5576
Fax Number
401-725-2640
Pawtucket, RI 02861Get directions →

Provider Business Mailing Address Details

Address
345 Armistice Blvd
Pawtucket, RI 02861-2429
City
Pawtucket
State
RI
Zip
02861-2429
Phone Number
401-725-5576
Fax Number
401-725-2640

License Information

License Number
DPM00327
License State
RI
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blackstone Valley Foot And Ankle INC.?

The NPI number of Blackstone Valley Foot And Ankle INC. is 1720482193. It was assigned on October 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Blackstone Valley Foot And Ankle INC.?

Blackstone Valley Foot And Ankle INC. is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in RI under license number DPM00327.

Where does Blackstone Valley Foot And Ankle INC. practice?

The practice location is 345 Armistice Blvd, Pawtucket, RI 02861-2429. The office can be reached at 401-725-5576 (phone) or 401-725-2640 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720482193 directly on the NPPES registry website.

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