Individual
TIMOTHY J HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1376 BRONCOS HWY RTE 102, BURRILLVILLE, RI 02858
(401) 568-9980
(401) 769-2125
Mailing address
301 MENDON ROAD, WOONSOCKET, RI 02895
(401) 769-5011
(401) 769-2125
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2162
MA
213E00000X
Podiatrist
Primary
DPM00222
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH00848
—
RI
Enumeration date
09/29/2006
Last updated
02/24/2022
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