Individual
DR. NITIN S DAMLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Mailing address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07066
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004027
HMORI OF RI
RI
01
—
0406618
UNITEDHEALTHCARE
RI
01
—
MD07066
RI STATE LICENSE
RI
05
—
ND01679
—
RI
01
—
RI7066
BLUE SHIELD OF RI
RI
Enumeration date
06/03/2006
Last updated
06/25/2010
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