Healthcare Provider Details

I. General information

NPI: 1073560330
Provider Name (Legal Business Name): CHRISTOPHER A. D'ARCY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WELLS STREET SUITE 203B
WESTERLY RI
02891
US

IV. Provider business mailing address

45 WELLS STREET SUITE 203B
WESTERLY RI
02891
US

V. Phone/Fax

Practice location:
  • Phone: 401-348-2180
  • Fax: 401-348-6298
Mailing address:
  • Phone: 401-348-2180
  • Fax: 401-348-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD10564
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number3926
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: