Individual
CLYDE S FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
469 CENTERVILLE RD, SUITE 105, WARWICK, RI 02886-4354
(401) 738-9200
(401) 738-9400
Mailing address
469 CENTERVILLE RD, SUITE 105, WARWICK, RI 02886-4354
(401) 738-9200
(401) 738-9400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00208
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP19363
—
RI
Enumeration date
09/22/2006
Last updated
01/23/2012
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