Individual
DR. JOSEPH A DECESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
201 BROADWAY, PROVIDENCE, RI 02903-3015
(401) 421-9167
(401) 421-9193
Mailing address
201 BROADWAY, PROVIDENCE, RI 02903-3015
(401) 421-9167
(401) 421-9193
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00240
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000007071
BLUE CROSS FEP
RI
01
—
0000007071
BLUE CROSS OF RI
RI
01
—
0005779230
AETNA
RI
01
—
001868
TUFTS
RI
01
—
0137515002
CIGNA
RI
01
—
050456966
WPS TRICARE
RI
01
—
1006490001
NHIC, CORP. DME MAC
RI
01
—
2343
NEIGHBORHOOD HEALTH
RI
01
—
2700150
UNITED HEALTHCARE OF NEW
RI
01
—
400515
BLUECHIP OF RI
RI
05
—
7001766
—
RI
01
—
782937
AETNA
RI
01
—
R003457
WPS TRICARE
RI
01
—
ZE5188
BLUE CROSS OF MA
RI
Enumeration date
03/13/2007
Last updated
08/26/2011
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