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Contact Information

ANGELA FEDORCUK, DPM
970 HOPE STREET
SUITE 6
BRISTOL, RI02809-5210
 Phone: 401-254-0922
 Fax: 401-254-8894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANGELA FEDORCUK · (Female)

NPI # 1467547661
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 1941
  • RI License # DPM260
  • RI Medicaid 9007059
  • Other 2700166 UNITED HEALTHCARE
  • RI Other 70599 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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