NPI 1801988647 · live from the CMS NPI Registry
Timothy J Hart, DPM
Podiatrist in Burrillville, RI. National Provider Identifier 1801988647, active.
NPI record
| NPI | 1801988647 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1376 Broncos Hwy Rte 102, Burrillville, RI 02858 |
| Practice phone | 401-568-9980 |
| Mailing address | 301 Mendon Road, Woonsocket, RI 02895 |
| Enumerated | September 29, 2006 |
| Last updated | February 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 2162 (MA) |
| Podiatrist primary | 213E00000X | DPM00222 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.