Dr. Vincent Anthony Dimaggio
Internist Pediatrician Pediatric Emergency Physician
245 Chapman St Ste 100
Providence
, Rhode Island 02905-4539
Dr. Vincent Anthony Dimaggio
Internist Pediatrician Pediatric Emergency Physician
245 Chapman St Ste 100
Providence
, Rhode Island 02905-4539
(401) 444-6912
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About
Features
Specialties
- Pediatric Emergency Physician
- Internist
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Vincent Anthony Dimaggio
- 117 Ellenfield St Ste 101
- Providence, RI
- Zip : 02905-4541
- Fax : (401) 444-6912
- Phone : (401) 444-6779
Second Address
- Dr. Vincent Anthony Dimaggio
- 245 Chapman St Ste 100
- Providence, RI
- Zip : 02905-4539
- Phone : (401) 444-6118
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 036143596 | IL |
| N | 207R00000X | Internist | 036.143596 | IL |
| N | 111NI0900X | Internist | 036.143596 | IL |
| N | 208000000X | Pediatrician | 036.143596 | IL |
| Y | 208000000X | Pediatrician | MD18035 | RI |
National Provider Identifier
| NPI | 1083053896 |
|---|---|
| Provider Name | Dr. Vincent Anthony Dimaggio |
| First Address | Providence, RI 02905-4541 |
| Second Address | Providence, RI 02905-4539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2013 |
| Last Update Date | 18/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.