Individual
MR. MATTHEW WARREN CARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1580 PONTIAC AVE, CRANSTON, RI 02920-4406
(401) 738-6450
(401) 732-5369
Mailing address
1580 PONTIAC AVE, CRANSTON, RI 02920-4406
(401) 738-6450
(401) 732-5369
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO00008
RI
224P00000X
Prosthetist
CP00012
RI
225000000X
Orthotic Fitter
Primary
CO00008
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200260
BLUECHIP
RI
05
—
9009703
—
RI
01
—
9703
BCBS OF RI
RI
Enumeration date
03/15/2007
Last updated
09/11/2025
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