Individual
DENNIS ANTHONY DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
224 TAUNTON AVE, EAST PROVIDENCE, RI 02914-3731
(401) 438-8090
(401) 435-5069
Mailing address
8 GREENBRIER DR, BARRINGTON, RI 02806-3818
(401) 245-0521
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0198
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000652
BLUECHIP
RI
01
—
23166-2
BCBS
RI
05
—
7005198
—
RI
Enumeration date
04/14/2006
Last updated
07/08/2007
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