Individual
THEODORE R DELMONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 KENYON AVE STE 280, WAKEFIELD, RI 02879-4253
(401) 284-1212
(401) 788-8730
Mailing address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD16013
RI
2086S0102X
Surgical Critical Care Physician
MD16013
RI
2086S0127X
Trauma Surgery Physician
276046
MA
2086S0127X
Trauma Surgery Physician
Primary
MD16013
RI
Other
Enumeration date
06/19/2012
Last updated
05/17/2023
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