Healthcare Provider Details
I. General information
NPI: 1982668539
Provider Name (Legal Business Name): RHODE ISLAND FOOT & ANKLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2006
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1591 CRANSTON ST
CRANSTON RI
02920-5104
US
IV. Provider business mailing address
1591 CRANSTON ST
CRANSTON RI
02920-5104
US
V. Phone/Fax
- Phone: 401-946-9933
- Fax: 401-464-4493
- Phone: 401-946-9933
- Fax: 401-464-4493
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | DPM268 |
| License Number State | RI |
VIII. Authorized Official
Name: DR.
JOHN
A
VOLPE
Title or Position: PRESIDENT
Credential: DPM
Phone: 401-946-9933