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Organization

RHODE ISLAND FOOT CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MARC GREENBERG D.P.M. (PRESIDENT)
(401) 305-3800
Entity
Organization

Contact information

Practice address
649 EAST AVE, PAWTUCKET, RI 02860-6157
(401) 305-3800
(401) 305-3816
Mailing address
649 EAST AVE, PAWTUCKET, RI 02860-6157
(401) 305-3800
(401) 305-3816

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0536612
AETNA
RI
01
0860
NEIGHBORHOOD HEALTH PLAN
RI
05
13195
RI
01
2642-0
BLUE CROSS BLUE SHIELD
RI
01
604423
TUFTS
RI
Enumeration date
04/10/2007
Last updated
11/20/2009
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