NPI 1720482193

Blackstone Valley Foot and Ankle INC.

Organisation Foot & Ankle Surgery Podiatrist Pawtucket, RI

Practice location

Address: 345 Armistice Blvd, Pawtucket, RI 02861-2429
Phone: (401) 725-5576
Fax: (401) 725-2640

Authorised official

Name: Joseph Kevin Domenico
Title: Owner
Phone: (401) 725-5576

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPM00327 (RI)

Other Podiatrist providers in Rhode Island →

Registry record

NPI: 1720482193
Entity type: Organization
NPI issued: 14 Oct 2014
Record last updated: 24 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.