Individual
THOMAS A DIPETRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
593 EDDY ST, DEPARTMENT OF RADIATION ONCOLOGY, PROVIDENCE, RI 02903-4923
(401) 444-8311
(401) 444-5335
Mailing address
593 EDDY ST, DEPARTMENT OF RADIATION ONCOLOGY, PROVIDENCE, RI 02903-4923
(401) 444-8311
(401) 444-5335
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MA60144
MA
2085R0001X
Radiation Oncology Physician
Primary
MD09677
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134617
CIGNA
—
01
—
060144
TUFTS HEALTH PLAN
—
01
—
2400030
UNITED HEALTHCARE
—
01
—
240600NEMC
HARVARD PILGRIM
—
01
—
27671
NHP OF RHODE ISLAND
—
01
—
403094
BLUECHIP
—
01
—
4804-8
BLUE CROSS BLUE SHIELD
RI
05
—
7006675
—
RI
01
—
920000783
RAILROAD MEDICARE
—
Enumeration date
05/01/2006
Last updated
05/06/2011
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