Dicecco, David A.

Dicecco, David A. is an sole proprietor health care provider with primary practice located at 200 High Service Avenue Marion Hall, 2Nd Floor, North Providence RI 02904-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dicecco, David A. can be contacted via phone (401) 456-3456.

Contact Information

Primary practice address
200 High Service Avenue Marion Hall, 2Nd Floor North Providence RI 02904-5113
Phone: (401) 456-3456
Fax: (401) 456-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6289 Rhode Island

Profile Details

NPI number 1831201839
LBN Legal business name Dicecco, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831201839 NPPES
Rhode Island MEDICAID 9000415

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