Organization
EAST PROVIDENCE FOOTCARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ANTHONY DIMATTEO DPM (PRESIDENT)
(401) 438-8090
Entity
Organization
Contact information
Practice address
224 TAUNTON AVE, EAST PROVIDENCE, RI 02914-3731
(401) 438-8090
(401) 435-5069
Mailing address
PO BOX 3160, ANDOVER, MA 01810-0803
(978) 474-8885
(978) 474-8845
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPMO198
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9018099
—
RI
Enumeration date
08/03/2006
Last updated
06/03/2008
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