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Organization
THOMAS R. LEDDY, M.D.,LLC
Active
Organization
THOMAS R. LEDDY, M.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RAYMOND LEDDY M.D. (OWNER)
(401) 732-2662
Entity
Organization
Contact information
Practice address
390 TOLL GATE RD, WARWICK, RI 02886-4326
(401) 732-2662
(401) 732-2669
Mailing address
390 TOLL GATE RD, WARWICK, RI 02886-4326
(401) 732-2662
(401) 732-2669
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD04438
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001291
BLUE CHIP COMMERCIAL
RI
01
—
004438
TUFTS
RI
01
—
0138733
CIGNA
RI
01
—
08-00128
UNITED HEALTH
RI
01
—
459-4
BLUE SHIELD
RI
05
—
9000459
—
RI
01
—
P-12018674
MULTIPLAN
RI
Enumeration date
06/11/2006
Last updated
08/22/2020
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