Provider Demographics
NPI:1700067626
Name:CINGOLANI, WILLIAM RICHARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RICHARD
Last Name:CINGOLANI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SLIGO RD
Mailing Address - Street 2:
Mailing Address - City:ROLLINGSFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03869
Mailing Address - Country:US
Mailing Address - Phone:603-749-4945
Mailing Address - Fax:
Practice Address - Street 1:130 SLIGO RD
Practice Address - Street 2:
Practice Address - City:ROLLINGSFORD
Practice Address - State:NH
Practice Address - Zip Code:03869
Practice Address - Country:US
Practice Address - Phone:603-749-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH99213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHCINH8204OtherGROUP NUMBER