Shoeline Surgical Associates, Inc.

NPI #1710083043 in Wakefield, Rhode Island

Provider Information

NPI Number: 1710083043
Entity Type: Organization
Organization Name: Shoeline Surgical Associates, Inc.
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 70 KENYON AVE UNIT 325
City: Wakefield
State: Rhode Island
ZIP Code: 02879-4253
Phone: (401) 284-4114

Authorized Official

Name: DR. DAVID COPPE, M.D.
Title: PRESIDENT
Phone: (401) 284-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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