Organization
STEPHEN J D'AMATO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J D'AMATO M.D. (PHYSICIAN/OWNER)
(401) 270-7077
Entity
Organization
Contact information
Practice address
211 QUAKER LN, WEST WARWICK, RI 02893-2151
(401) 270-7077
(401) 270-2781
Mailing address
211 QUAKER LN, 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
—
00002400188 03
UHC
RI
01
—
0410540001
DME
RI
01
—
1203-0
BCROSS
—
05
—
9001203
—
RI
Enumeration date
10/26/2011
Last updated
05/13/2014
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