Healthcare Provider Details

I. General information

NPI: 1679795801
Provider Name (Legal Business Name): AQUIDNECK ISLAND ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 VALLEY RD
MIDDLETOWN RI
02842-5236
US

IV. Provider business mailing address

345 VALLEY RD
MIDDLETOWN RI
02842-5236
US

V. Phone/Fax

Practice location:
  • Phone: 401-842-0555
  • Fax: 401-847-5450
Mailing address:
  • Phone: 401-842-0555
  • Fax: 401-847-5450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS E JONES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-842-0555