Healthcare Provider Details

I. General information

NPI: 1730188327
Provider Name (Legal Business Name): SOUNDVIEW ORTHOPAEDIC ASSOC. LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 AIRPORT RD
WESTERLY RI
02891-3432
US

IV. Provider business mailing address

101 AIRPORT RD
WESTERLY RI
02891-3432
US

V. Phone/Fax

Practice location:
  • Phone: 401-596-0259
  • Fax: 401-348-5934
Mailing address:
  • Phone: 401-596-0259
  • Fax: 401-348-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL R GACCIONE
Title or Position: PARTNER
Credential: MD
Phone: 401-596-0259