Organization
EVERETT J FEDERICI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVERETT J FEDERICI OD (OWNER)
(401) 942-2020
Entity
Organization
Contact information
Practice address
200 MIDWAY ROAD, SUITE 163, CRANSTON, RI 02920-5749
(401) 942-2020
(401) 942-2020
Mailing address
200 MIDWAY ROAD, SUITE 163, CRANSTON, RI 02920-5749
(401) 942-2020
(401) 942-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODX00280
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EF00128
—
RI
Enumeration date
03/10/2008
Last updated
03/10/2008
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