Dipetrillo, Thomas A

Dipetrillo, Thomas A is an individual health care provider with primary practice located at 593 Eddy St Department Of Radiation Oncology, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dipetrillo, Thomas A can be contacted via phone (401) 444-8311.

Contact Information

Primary practice address
593 Eddy St Department Of Radiation Oncology Providence RI 02903-4923
Fax: (401) 444-5335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD09677 Rhode Island
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MA60144 Massachusetts

Profile Details

NPI number 1881651941
LBN Legal business name Dipetrillo, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 6th, 2011 - about 13 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 1881651941 NPPES
Other 920000783 RAILROAD MEDICARE
Other 27671 RAILROAD MEDICARE
Other 2400030 RAILROAD MEDICARE
Other 240600NEMC RAILROAD MEDICARE
Other 4804-8 RAILROAD MEDICARE
MEDICAID 7006675 RAILROAD MEDICARE
Other 0134617 RAILROAD MEDICARE
Other 060144 RAILROAD MEDICARE
Other 403094 RAILROAD MEDICARE

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