MEDICARE: DEAN LOPORCHIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD17709	RI

General Provider Information

NPI Number	:	1518346014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN LOPORCHIO M.D.

Provider Business Mailing Address
First Line	:	35 SOCKANOSSET CROSS RD STE 2
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-5535
Country	:	US
Telephone Number	:	401-946-8011
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 SOCKANOSSET CROSS RD STE 2
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-5535
Country	:	US
Telephone Number	:	401-946-8011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	09/20/2021

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Directions to “ DEAN LOPORCHIO M.D.” Practice Location

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