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Contact Information

ANDREW FODERARO, MD
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-4742
 Fax: 401-444-4445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANDREW FODERARO · (Male)

NPI Number 1700179942
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2011
Last updated 03/05/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • RI License # MD14723
  • RI Medicaid 1700179942
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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