Provider Demographics
NPI:1053633370
Name:JOSEPH R. DOTOLO MD INC.
Entity Type:Organization
Organization Name:JOSEPH R. DOTOLO MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOTOLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-596-2277
Mailing Address - Street 1:27 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2907
Mailing Address - Country:US
Mailing Address - Phone:401-596-2277
Mailing Address - Fax:401-596-6140
Practice Address - Street 1:27 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2907
Practice Address - Country:US
Practice Address - Phone:401-596-2277
Practice Address - Fax:401-596-6140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI4283207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty