DAVID J. DISANTO, M.D. INC
Medical Practice at Pawtucket Ave, East Providence, RI

License number
Rhode Island MD05417
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: DAVID J DISANTO M.D.
Title: OWNER
Phone: (401) 431-0226
Address
Address
2464 Pawtucket Ave, East Providence, RI 02914
National Provider ID: 1194081463
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID J. DISANTO, M.D., INC

2464 Pawtucket Ave, East Providence, RI 02914

Status:
Inactive
Industry:
To Render Professional Services By Those Authorized To Practice Medicine, Medical Doctor's Office
Doing business as:
David J Disanto MD Inc
Registration:
May 12, 1983
Phone:
(401) 431-0226 (Phone)
State ID:
000007581
Business type:
Professional Service Corporation
Manager, Office Managers:
David J Disanto (President, Owner, Medical Doctor), 2464 Pawtucket Ave, East Providence, RI 02914 (Physical),Maha Janik Manager, Office Manager, inactive
Agent:
John F. Neary, Esq,103 Cottage St, Pawtucket, RI 02860 (Physical)

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