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Contact Information

JOSEPH K DOMENICO, DPM
249 EDDIE DOWLING HWY
NORTH SMITHFIELD, RI02896-8213
 Phone: 401-769-5611
 Fax: 401-769-6238
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH K DOMENICO · (Male)

NPI Number 1972780583
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/25/2008
Last updated 05/31/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • RI License # DPM00327
Hospital affiliation(s)
  • ST JOSEPH HEALTH SERVICES OF RI - (Acute Care)
    200 HIGH SERVICE AVENUE
    NORTH PROVIDENCE, RI 02904
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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