Individual
STEPHEN J D'AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 QUAKER LN, SUITE 100, WEST WARWICK, RI 02893-2151
(401) 270-7077
(401) 270-2781
Mailing address
211 QUAKER LN, SUITE 100, WEST WARWICK, RI 02893-2151
(401) 270-7077
(401) 270-2781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD05562
RI
208D00000X
General Practice Physician
Primary
MD05562
RI
208VP0000X
Pain Medicine Physician
MD05562
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410540001
DME
RI
01
—
1203-0
BCROSS
RI
05
—
9001203
—
RI
Enumeration date
06/06/2006
Last updated
02/11/2014
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