Organization
DAVID J. DISANTO, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J DISANTO M.D. (OWNER)
(401) 431-0226
Entity
Organization
Contact information
Practice address
2464 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-3218
(401) 431-0226
(401) 434-3166
Mailing address
2464 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914-3218
(401) 431-0226
(401) 434-3166
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD05417
RI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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