Blackstone Valley Foot and Ankle Inc.

NPI #1720482193 in Pawtucket, Rhode Island

Provider Information

NPI Number
1720482193
Entity Type
Organization
Organization Name
Blackstone Valley Foot and Ankle Inc.
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Oct 14, 2014
Last Updated
Apr 24, 2017

Practice Location

Address
345 ARMISTICE BLVD
ZIP Code
02861-2429
Phone
(401) 725-5576

Authorized Official

Name
DR. JOSEPH KEVIN DOMENICO, DPM
Title
OWNER
Phone
(401) 725-5576

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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