# NINIGRET ORTHOPEDICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003005497
- **Authorized official:** MRS. KERRY TOTH (OFFICE MANAGER)
- **Authorized official phone:** (401) 596-9039

## Contact information

- **Practice address:** 81 BEACH ST, WESTERLY, RI 02891-2769
- **Practice address phone:** (401) 596-9039
- **Mailing address:** 81 BEACH ST, WESTERLY, RI 02891-2769
- **Mailing address phone:** (401) 596-9039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 8611 | RI | Yes |

## Other

- **Enumeration date:** 10/22/2007
- **Last updated:** 07/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21202-7 | BLUE CROSS | RI |
| 01 | — | 9790006084 | MEDICARE PA PTAN | — |