Healthcare Provider Details

I. General information

NPI: 1437086063
Provider Name (Legal Business Name): PUGLIESE NATURAL MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S KILLINGLY RD
FOSTER RI
02825-1350
US

IV. Provider business mailing address

112 S KILLINGLY RD
FOSTER RI
02825-1350
US

V. Phone/Fax

Practice location:
  • Phone: 401-486-5167
  • Fax:
Mailing address:
  • Phone: 401-486-5167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DANIEL PUGLIESE
Title or Position: DOCTOR
Credential: ND
Phone: 401-486-5167