Healthcare Provider Details

I. General information

NPI: 1942318357
Provider Name (Legal Business Name): RICHARD M DEL SESTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1672 S COUNTY TRL STE 302
E GREENWICH RI
02818-5099
US

IV. Provider business mailing address

1672 S COUNTY TRL STE 302
E GREENWICH RI
02818-5099
US

V. Phone/Fax

Practice location:
  • Phone: 401-471-6510
  • Fax: 833-455-8031
Mailing address:
  • Phone: 401-471-6510
  • Fax: 833-455-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD10080
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: