1851398549 NPI number — SALVATORE J LOPORCHIO M.D.

Table of content: SALVATORE J LOPORCHIO M.D. (NPI 1851398549)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851398549 NPI number — SALVATORE J LOPORCHIO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOPORCHIO
Provider First Name:
SALVATORE
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1851398549
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 SOCKANOSSET CROSS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-5535
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-946-8011
Provider Business Mailing Address Fax Number:
401-946-7086

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 SOCKANOSSET CROSS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-5535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-946-8011
Provider Business Practice Location Address Fax Number:
401-946-7086
Provider Enumeration Date:
07/07/2005

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:  RI6911 , 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: 004230 . This is a "BLUE CHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201236 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0544775 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1613 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9259665001 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3083322 . This is a "MASS HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 766744 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9020123 . This is a "UNITED" identifier . This identifiers is of the category "OTHER".




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