Provider Demographics
NPI:1073560330
Name:D'ARCY, CHRISTOPHER A (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:A
Last Name:D'ARCY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WELLS STREET
Mailing Address - Street 2:SUITE 203B
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891
Mailing Address - Country:US
Mailing Address - Phone:401-348-2180
Mailing Address - Fax:401-348-6298
Practice Address - Street 1:45 WELLS STREET
Practice Address - Street 2:SUITE 203B
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891
Practice Address - Country:US
Practice Address - Phone:401-348-2180
Practice Address - Fax:401-348-6298
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD10564207RR0500X
CT3926207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICR40894Medicaid
RI007657164Medicaid
66003953OtherRAILROAD MEDICARE
RI9025551Medicaid
CT003110054Medicaid
H38872Medicare UPIN
CT660000033Medicare ID - Type Unspecified
RICR40894Medicaid