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Contact Information

JASON P MALLETTE, DPM
1050 WARWICK AVE
WARWICK, RI02888-3655
 Phone: 401-354-7966
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JASON P MALLETTE · (Male)

NPI # 1871724740
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/27/2009
Last updated 06/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • RI License # DPM00334
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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