# THOMAS R. LEDDY, M.D.,LLC

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

## Provider details

- **NPI number:** 1275575748
- **Authorized official:** DR. THOMAS RAYMOND LEDDY M.D. (OWNER)
- **Authorized official phone:** (401) 732-2662

## Contact information

- **Practice address:** 390 TOLL GATE RD, WARWICK, RI 02886-4326
- **Practice address phone:** (401) 732-2662
- **Practice address fax:** (401) 732-2669
- **Mailing address:** 390 TOLL GATE RD, WARWICK, RI 02886-4326
- **Mailing address phone:** (401) 732-2662
- **Mailing address fax:** (401) 732-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD04438 | RI | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 08/22/2020

## 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 |