Healthcare Provider Details

I. General information

NPI: 1760896971
Provider Name (Legal Business Name): DR. PETER ANTHONY VOLPIGNO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 FRONT ST SUITE 107
WOONSOCKET RI
02895-5287
US

IV. Provider business mailing address

719 FRONT ST SUITE 107
WOONSOCKET RI
02895-5287
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-4263
  • Fax:
Mailing address:
  • Phone: 401-769-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberDA00150
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: