NPI 1104959832 · live from the CMS NPI Registry
Joseph A Decesare, DPM
Podiatrist in Providence, RI. National Provider Identifier 1104959832, active.
NPI record
| NPI | 1104959832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 201 Broadway, Providence, RI 02903 |
| Practice phone | 401-421-9167 |
| Enumerated | March 13, 2007 |
| Last updated | August 26, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | DPM00240 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.