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Individual

DR. VINCENT ANTHONY DIMAGGIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 CHAPMAN ST STE 100, PROVIDENCE, RI 02905-4539
(401) 444-6118
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
036143596
IL
207R00000X
Internal Medicine Physician
036.143596
IL
208000000X
Pediatrics Physician
036.143596
IL
208000000X
Pediatrics Physician
Primary
MD18035
RI

Other

Enumeration date
06/14/2013
Last updated
10/18/2021
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