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Contact Information

BLACKSTONE VALLEY FOOT AND ANKLE INC.
345 ARMISTICE BLVD
PAWTUCKET, RI02861-2429
 Phone: 401-725-5576
 Fax: 401-725-2640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BLACKSTONE VALLEY FOOT AND ANKLE INC.

NPI Number 1720482193
LBN Legal business name BLACKSTONE VALLEY FOOT AND ANKLE INC.
Authorized official JOSEPH DOMENICO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2014
Last updated 04/24/2017 - About 9 years ago
Identifiers
RI License # DPM00327
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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