1851379812 NPI number — GIULIO G DIAMANTE MD

Table of content: GIULIO G DIAMANTE MD (NPI 1851379812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851379812 NPI number — GIULIO G DIAMANTE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIAMANTE
Provider First Name:
GIULIO
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851379812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1277 HARTFORD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOHNSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02919-7121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-521-3606
Provider Business Mailing Address Fax Number:
401-453-3288

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1277 HARTFORD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02919-7121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-521-3606
Provider Business Practice Location Address Fax Number:
401-453-3288
Provider Enumeration Date:
01/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  MD09553 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 206286 . This is a "BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 402867 . This is a "BCBS-BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0179060 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 05049869901 . This is a "TRICARE NORTH REGION" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 131000 . This is a "COLE VISION SERVICES" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2925 . This is a "NEIGHBORHOOD HEALTH PLAN OF RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5720675 . This is a "AETNA U.S. HEALTHCARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1166182 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 15164FRIH . This is a "HARVARD PILG" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 156217 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 180035658 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9020628 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 050498699 . This is a "BCBS-CALIFORNIA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 0800472 . This is a "UNITED HEALTH" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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