NPI 1467547661 · live from the CMS NPI Registry
Angela Fedorcuk, DPM
Podiatrist in Bristol, RI. National Provider Identifier 1467547661, active.
NPI record
| NPI | 1467547661 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 970 Hope Street, Suite 6, Bristol, RI 02809 |
| Practice phone | 401-254-0922 |
| Enumerated | October 4, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | DPM260 (RI) |
| Podiatrist | 213E00000X | 1941 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.