Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 09152 | RI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 091520 | RI |
NPI | 1699715920 |
---|---|
Provider Name | Christopher W Digiovanni |
First Address | Providence, RI 02905-3236 |
Second Address | Providence, RI 02906-4862 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 07/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G27643 | (02) |