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Individual

DR. CHARLES MICHAEL CAVICCHIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2 WAKE ROBIN RD, SUITE 203, LINCOLN, RI 02865-4241
(401) 312-9999
(401) 312-0416
Mailing address
2 WAKE ROBIN RD, SUITE 203, LINCOLN, RI 02865-4241
(401) 312-9999
(401) 312-0416

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DPM 206
RI
213ES0131X
Foot Surgery Podiatrist
DPM 206
RI

Other

Enumeration date
04/21/2006
Last updated
02/05/2008
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