Provider Demographics
NPI:1376773606
Name:JOSEPH W. SPINALE, DO, INC
Entity Type:Organization
Organization Name:JOSEPH W. SPINALE, DO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPINALE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:401-921-6263
Mailing Address - Street 1:390 TOLL GATE RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4326
Mailing Address - Country:US
Mailing Address - Phone:401-921-6263
Mailing Address - Fax:401-921-6569
Practice Address - Street 1:390 TOLL GATE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4326
Practice Address - Country:US
Practice Address - Phone:401-921-6263
Practice Address - Fax:401-921-6569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDO403207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7003837Medicaid
RI007005791Medicare PIN
RI7003837Medicaid