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Organization

FRANK P. MAGGIACOMO, D.O. INC

Active
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Organization

FRANK P. MAGGIACOMO, D.O. INC

Active
Other names
Knightsville Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK P MAGGIACOMO D.O. (PRESIDENT)
(401) 946-8446
Entity
Organization

Contact information

Practice address
1681 CRANSTON ST, SUITE D, CRANSTON, RI 02920-5000
(401) 946-8446
(401) 946-8340
Mailing address
1681 CRANSTON ST, SUITE D, CRANSTON, RI 02920-5000
(401) 946-8446
(401) 946-8340

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO 00383
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119003084
PTAN
RI
05
FM27448
RI
Enumeration date
10/22/2007
Last updated
10/22/2007
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