Disanto, David J

Disanto, David J is an sole proprietor health care provider with primary practice located at 2464 Pawtucket Avenue , East Providence RI 02914. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Disanto, David J can be contacted via phone (401) 431-0226.

Contact Information

Primary practice address
2464 Pawtucket Avenue East Providence RI 02914
Phone: (401) 431-0226
Fax: (401) 434-3166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5417 Rhode Island

Profile Details

NPI number 1720174501
LBN Legal business name Disanto, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jul 9th, 2007 - about 19 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 1720174501 NPPES
Rhode Island Other 002602 BLUE CHIP
Rhode Island Other DAM13785 BLUE CHIP
Rhode Island Other 06-00102 BLUE CHIP
Rhode Island Other 1603-8 BLUE CHIP
Rhode Island MEDICAID 9001603 BLUE CHIP

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