| Kristen R. Dimarco, Do Ltd | |
|
215 Toll Gate Rd Suite 306 Warwick RI 02886-4458 | |
| (401) 738-6565 | |
| (401) 738-6599 |
| Full Name | Kristen R. Dimarco, Do Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Toll Gate Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Michael Richard Martin (VICE PRESIDENT) |
| Authorized Official Contact | 4017386565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen R. Dimarco, Do Ltd 215 Toll Gate Rd Suite 306 Warwick RI 02886-4458 Ph: (401) 738-6565 | Kristen R. Dimarco, Do Ltd 215 Toll Gate Rd Suite 306 Warwick RI 02886-4458 Ph: (401) 738-6565 |
| NPI Number | 1962542829 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2668669789 |
|---|---|
| Medicare Enrollment ID | O20101215000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962542829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00503 (Rhode Island) | Primary |
| Provider Name | Kristen R Dimarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487725743 PECOS PAC ID: 3072637040 Enrollment ID: I20100826001162 |
| Provider Name | Michael R Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376607168 PECOS PAC ID: 6709074842 Enrollment ID: I20101216000339 |
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