Organization
CENTERVILLE PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M MONIZ DPM (OWNER)
(401) 738-9200
Entity
Organization
Contact information
Practice address
469 CENTERVILLE RD, STE 105, WARWICK, RI 02886-4354
(401) 738-9200
(401) 738-9400
Mailing address
469 CENTERVILLE RD, STE 105, WARWICK, RI 02886-4354
(401) 738-9200
(401) 738-9400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM208
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM277
RI
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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