Individual
PAUL A DE CESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
354 BROADWAY, PROVIDENCE, RI 02909
(401) 331-4475
(401) 273-5742
Mailing address
354 BROADWAY, PROVIDENCE, RI 02909
(401) 331-4475
(401) 273-5742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00322
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC03311
—
RI
Enumeration date
10/25/2005
Last updated
01/29/2010
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