| Bruce Edward Famiglietti, MD | |
|
100 Kenyon Ave, Wakefield, RI 02879-4216 | |
| (401) 788-1590 | |
| (401) 788-1593 |
| Full Name | Bruce Edward Famiglietti |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 100 Kenyon Ave, Wakefield, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356389571 | NPI | - | NPPES |
| 9020130 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD07232 (Rhode Island) | Primary |
| 208M00000X | Hospitalist | MD07232 (Rhode Island) | Secondary |
| Entity Name | Silver Spring Health Care Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861561193 PECOS PAC ID: 4688661127 Enrollment ID: O20080124000678 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Edward Famiglietti, MD Po Box 229, Wakefield, RI 02880-0229 Ph: (401) 788-3337 | Bruce Edward Famiglietti, MD 100 Kenyon Ave, Wakefield, RI 02879-4216 Ph: (401) 788-1590 |
Diane E Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-782-8000 | |
Dr. John Jefferys Bandola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 70 Kenyon Ave, Suite 326, Wakefield, RI 02879 Phone: 401-789-8543 Fax: 401-782-8766 | |
Dr. Aaron Weisbord, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave, Suite 321, Wakefield, RI 02879 Phone: 401-789-5770 Fax: 407-789-8530 | |
Dr. Robert Charles Kornas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-788-1590 Fax: 401-788-1593 | |
Sylvia Vania Alarcon Velasco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Kenyon Ave, Wakefield, RI 02879 Phone: 401-783-6670 Fax: 401-789-4990 | |
Dr. Judith M Gilmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Salt Pond Rd, Suite G2, Wakefield, RI 02879 Phone: 401-788-8940 Fax: 401-515-2670 | |
Dr. Ryan David Boehm, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 70 Kenyon Ave, Wakefield, RI 02879 Phone: 401-789-5770 Fax: 401-889-5082 |