Individual
DR. KRISTEN ROSE DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
215 TOLL GATE ROAD, SUITE 306, WARWICK, RI 02886
(401) 738-6565
(401) 738-6599
Mailing address
215 TOLL GATE ROAD, SUITE 306, WARWICK, RI 02886
(401) 738-6565
(401) 738-6599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0503
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005030
TUFTS
—
01
—
0101365
UHC
—
01
—
222482
BLUE CROSS
—
01
—
2900
NHP
—
01
—
405535
BLUE CHIP
—
01
—
5343699003
CIGNA P A L
—
01
—
9002776
EDS
—
01
—
DOOO503
LICENSE NUMBER
—
01
—
RI503
LIFESPAN
—
Enumeration date
11/10/2006
Last updated
03/07/2023
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