Dimatteo, Dennis Anthony

Dimatteo, Dennis Anthony is an individual health care provider with primary practice located at 224 Taunton Ave , East Providence RI 02914-3731. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dimatteo, Dennis Anthony can be contacted via phone (401) 438-8090.

Contact Information

Primary practice address
224 Taunton Ave East Providence RI 02914-3731
Fax: (401) 435-5069
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM0198 Rhode Island

Profile Details

NPI number 1275597403
LBN Legal business name Dimatteo, Dennis Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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 1275597403 NPPES
Rhode Island Other 23166-2 BCBS
Rhode Island MEDICAID 7005198 BCBS
Rhode Island Other 000652 BCBS

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