Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | DPM00201 | RI |
Y | 213ES0103X | Foot & Ankle Surgery | DPM00201 | RI |
NPI | 1326149634 |
---|---|
Provider Name | Dr. Angelo J Bigelli |
First Address | North Providence, RI 02904-4238 |
Second Address | North Providence, RI 02904-4238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 23/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RI201DPM | (05) | RI |
T53416 | (02) | RI |