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Contact Information

JOSEPH A DECESARE, DPM
201 BROADWAY
PROVIDENCE, RI02903-3015
 Phone: 401-421-9167
 Fax: 401-421-9193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH A DECESARE · (Male)

NPI Number 1104959832
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/13/2007
Last updated 08/26/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # DPM00240
  • RI Medicaid 7001766
  • RI Other 0005779230 AETNA
  • RI Other 782937 AETNA
  • RI Other 0000000007071 BLUE CROSS FEP
  • RI Other ZE5188 BLUE CROSS OF MA
  • RI Other 0000007071 BLUE CROSS OF RI
  • RI Other 0000007071 BLUECHIP GROUP
  • RI Other 400515 BLUECHIP OF RI
  • RI Other 0137515002 CIGNA
  • RI Other 050456966 CIGNA
  • RI Other 2343 NEIGHBORHOOD HEALTH
  • RI Other 1006490001 NHIC, CORP. DME MAC
  • RI Other 001868 TUFTS
  • RI Other 050456966 UNITED HEALTHCARE
  • RI Other 2700150 UNITED HEALTHCARE OF NEW
  • RI Other 050456966 WPS TRICARE
  • RI Other R003457 WPS TRICARE
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
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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