Organization
FEDERAL HILL PODIATRY GROUP
Active
Other names
Joseph A DeCesare DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A DECESARE DPM (OWNER)
(401) 421-9167
Entity
Organization
Contact information
Practice address
201 BROADWAY, PROVIDENCE, RI 02903-3015
(401) 421-9167
(401) 421-9193
Mailing address
201 BROADWAY, PROVIDENCE, RI 02903-3015
(401) 421-9167
(401) 421-9193
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00240
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007071
BCBS RI GROUP ID
RI
01
—
0005779230
AETNA
RI
01
—
0137515002
CIGNA
RI
01
—
0357
NEIGHBORHOOD GROUP ID
RI
01
—
2343
NEIGHBORHOOD J A DECESARE
RI
01
—
400515
BLUECHIP J A DECESARE DP
RI
05
—
FH00185
—
RI
01
—
R003457
WPS TRICARE GROUP ID
RI
01
—
ZE5188
BCBS MA GROUP ID
RI
Enumeration date
04/03/2007
Last updated
08/26/2011
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