NPI 1669855169 · live from the CMS NPI Registry
Candace Criscione, DPM
Podiatrist, Foot & Ankle Surgery in Warwick, RI. National Provider Identifier 1669855169, active.
NPI record
| NPI | 1669855169 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 400 Bald Hill Rd Ste 503, Warwick, RI 02886 |
| Practice phone | 401-738-7750 |
| Mailing address | 245 Broad Hill Way, Wakefield, RI 02879 |
| Enumerated | July 1, 2015 |
| Last updated | August 6, 2018 |
| Sole proprietor | No |
| Other names | Candace Masso |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 1336 (MA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00354 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.