MEDICARE: SALVATORE J LOPORCHIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	RI6911	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	004230	OTHER	BLUE CHIP
2	201236	OTHER	BLUE CROSS
3	0544775	OTHER	AETNA
4	1613	OTHER	NEIGHBORHOOD HEALTH PLAN
5	9259665001	OTHER	CIGNA
6	3083322	OTHER	MASS HEALTH
7	766744	OTHER	TUFTS
8	9020123	OTHER	UNITED

General Provider Information

NPI Number	:	1851398549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVATORE J LOPORCHIO M.D.

Provider Business Mailing Address
First Line	:	35 SOCKANOSSET CROSS RD
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-5535
Country	:	US
Telephone Number	:	401-946-8011
Fax Number	:	401-946-7086

Provider Business Practice Location Address
First Line	:	35 SOCKANOSSET CROSS RD
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-5535
Country	:	US
Telephone Number	:	401-946-8011
Fax Number	:	401-946-7086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/30/2020

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