Individual
DR. MARK STEPHEN MESSANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
630 SMITHFIELD RD APT 1108, NORTH PROVIDENCE, RI 02904-2932
(704) 651-5205
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
LPR00204
RI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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