Decesaris, Vincent A

Decesaris, Vincent A is an sole proprietor health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Decesaris, Vincent A can be contacted via phone (401) 432-2500.

Contact Information

Primary practice address
125 Metro Center Blvd Ste 2000 Warwick RI 02886-1785
Phone: (401) 432-2500
Fax: (401) 453-8220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 80777 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X MD04410 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD04410 Rhode Island

Profile Details

NPI number 1356344089
LBN Legal business name Decesaris, Vincent A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Aug 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356344089 NPPES
Connecticut Other 034414 CT LICENSE
Connecticut Other 80777 CT LICENSE
Connecticut Other MD04410 CT LICENSE
Connecticut MEDICAID 7000162 CT LICENSE
Connecticut Other 014362 CT LICENSE
Connecticut Other 9565 CT LICENSE
Connecticut MEDICAID 3123898 CT LICENSE

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