Individual
TAMMY L VAN DINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1087 WARWICK AVE, WARWICK, RI 02888-3545
(401) 354-7966
(401) 941-0315
Mailing address
1087 WARWICK AVE, WARWICK, RI 02888-3545
(401) 354-7966
(401) 941-0315
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
LPR00076
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00331
RI
Other
Enumeration date
07/24/2008
Last updated
05/10/2013
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