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Organization

DONALD V. FARGNOLI, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD VINCENT FARGNOLI M.D. (PRESIDENT)
(401) 353-2525
Entity
Organization

Contact information

Practice address
1358 SMITH ST, NORTH PROVIDENCE, RI 02911-3304
(401) 353-2525
(401) 353-6792
Mailing address
1358 SMITH ST, NORTH PROVIDENCE, RI 02911-3304
(401) 353-2525
(401) 353-6792

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5736
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000077
BLUE SHIELD OF RHODE ISLA
RI
01
000762
HMO BLUE CHIP NEW ENGLAND
RI
01
0279
NEIGHBORHOOD HEALTH PLAN
RI
01
0800081
UNITED HEALTHCARE (INDIVI
RI
01
180002352
RAILROAD MEDICARE
RI
01
189000077
MEDICARE OF RHODE ISLAND
RI
01
2879
NEIGHBORHOOD HEALTH PLAN
RI
01
728575
TUFTS HEALTH PLAN
RI
05
9000077
RI
Enumeration date
07/16/2007
Last updated
06/05/2008
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