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Organization

NORTH SMITHFIELD PODIATRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES C SULLIVAN DPM (PODIATRIST OWNER)
(401) 769-5611
Entity
Organization

Contact information

Practice address
249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI 02896
(401) 769-5611
(401) 769-6238
Mailing address
249 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI 02896
(401) 769-5611
(401) 769-6238

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000262
TUFTS
01
0005952117
AETNA
01
000917250002
AARP MED
01
004962
BLUE CHIP
01
1506
NEIGHBORHOOD
01
2700284
UHC
01
33235
HARVARD
01
480021635
RAILROAD MED
05
9007057
RI
Enumeration date
12/21/2006
Last updated
06/21/2011
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