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Organization
PODIATRY SPECIALISTS OF RI
Active
Organization
PODIATRY SPECIALISTS OF RI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R MIELE DPM (PRESIDENT)
(401) 751-4701
Entity
Organization
Contact information
Practice address
1539 ATWOOD AVENUE, SUITE 102, JOHNSTON, RI 02919
(401) 751-4701
(401) 454-4451
Mailing address
1539 ATWOOD AVENUE, SUITE 102, JOHNSTON, RI 02919
(401) 751-4701
(401) 454-4451
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00242
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202117
BLUE CHIP
RI
01
—
70544
BCBS RI
RI
05
—
9007054
—
RI
Enumeration date
08/16/2007
Last updated
09/16/2011
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