Individual
PETER F DEBLASIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 SMITH ST, NORTH PROVIDENCE, RI 02911-2939
(401) 353-5735
(401) 353-1020
Mailing address
1532 SMITH ST, NORTH PROVIDENCE, RI 02911-2939
(401) 353-5735
(401) 353-1020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
RI5407
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180000314
RAILROAD MEDICARE
RI
05
—
7001864
—
RI
Enumeration date
10/28/2005
Last updated
02/10/2025
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