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Contact Information

DAVID M COLANNINO, DPM
41 SANDERSON RD
SUITE 207
SMITHFIELD, RI02917-2602
 Phone: 401-949-3220
 Fax: 401-949-3296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID M COLANNINO · (Male)

NPI Number 1811095706
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/21/2006
Last updated 12/18/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • RI License # DPM232
  • RI Medicaid 9D25829
  • Other 489004216 MEDICARE GROUP
Hospital affiliation(s)
  • ROGER WILLIAMS MEDICAL CENTER - (Acute Care)
    825 CHALKSTONE AVENUE
    PROVIDENCE, RI 02908
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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