Individual
JOSEPH K DOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
249 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-8213
(401) 769-5611
(401) 769-6238
Mailing address
345 ARMISTICE BLVD, PAWTUCKET, RI 02861-2429
(401) 725-5576
(401) 725-2640
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00327
RI
Other
Enumeration date
01/25/2008
Last updated
05/31/2016
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