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Organization

CHARLES M CAVICCHIO, DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES MICHAEL CAVICCHIO (OWNER)
(401) 644-3861
Entity
Organization

Contact information

Practice address
25 GREENWOOD LN, LINCOLN, RI 02865-4726
(401) 644-3861
Mailing address
25 GREENWOOD LN, LINCOLN, RI 02865-4726
(401) 644-3861

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DPM 206
RI
261QP1100X
Podiatric Clinic/Center

Other

Enumeration date
02/06/2008
Last updated
04/13/2022
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