Healthcare Provider Details

I. General information

NPI: 1265540868
Provider Name (Legal Business Name): THOMAS E MANCINI DPM, FAC, FAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 MAIN ST UNIT 23
EAST GREENWICH RI
02818-3164
US

IV. Provider business mailing address

1050 MAIN ST UNIT 23
EAST GREENWICH RI
02818-3164
US

V. Phone/Fax

Practice location:
  • Phone: 401-885-6090
  • Fax: 401-885-6091
Mailing address:
  • Phone: 401-885-6090
  • Fax: 401-885-6091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberDPM00247
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: