Individual provider · Type 1 NPI
Joseph K. Domenico, D.P.M.
Foot & Ankle Surgery Podiatrist · North Smithfield, RI
NPI number
1972780583
Active
Practice location
249 Eddie Dowling Hwy
North Smithfield, RI 02896-8213
Fax (401) 769-6238
Mailing address
345 Armistice Blvd
Pawtucket, RI 02861-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | DPM00327 (RI) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1972780583
Joseph K. Domenico, D.P.M.'s National Provider Identifier is 1972780583, issued on Jan 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in North Smithfield, RI. The record was last updated on May 31, 2016.