Individual
DR. JOHN ROBERT PUGLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
622 GEORGE WASHINGTON HIGHWAY, LINCOLN MALL, LINCOLN, RI 02865
(401) 333-0550
(401) 312-0083
Mailing address
622 GEORGE WASHINGTON HIGHWAY, LINCOLN MALL, LINCOLN, RI 02865
(401) 333-0550
(401) 312-0083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00474
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009754
—
RI
Enumeration date
03/20/2007
Last updated
07/08/2007
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