NPI 1972780583 · live from the CMS NPI Registry
Joseph K Domenico, D.P.M.
Podiatrist, Foot & Ankle Surgery in North Smithfield, RI. National Provider Identifier 1972780583, active.
NPI record
| NPI | 1972780583 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 249 Eddie Dowling Hwy, North Smithfield, RI 02896 |
| Practice phone | 401-769-5611 |
| Mailing address | 345 Armistice Blvd, Pawtucket, RI 02861 |
| Enumerated | January 25, 2008 |
| Last updated | May 31, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00327 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.