Provider Demographics
NPI:1851398549
Name:LOPORCHIO, SALVATORE J (MD)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:J
Last Name:LOPORCHIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35 SOCKANOSSET CROSS RD
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5535
Mailing Address - Country:US
Mailing Address - Phone:401-946-8011
Mailing Address - Fax:401-946-7086
Practice Address - Street 1:35 SOCKANOSSET CROSS RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5535
Practice Address - Country:US
Practice Address - Phone:401-946-8011
Practice Address - Fax:401-946-7086
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRI6911207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
004230OtherBLUE CHIP
201236OtherBLUE CROSS
0544775OtherAETNA
1613OtherNEIGHBORHOOD HEALTH PLAN
9259665001OtherCIGNA
3083322OtherMASS HEALTH
766744OtherTUFTS
9020123OtherUNITED
9020123OtherUNITED
189020123Medicare ID - Type Unspecified