| Jesse W Dalton, DO | |
|
455 Toll Gate Rd, Warwick, RI 02886 | |
| (401) 737-7010 | |
| Not Available |
| Full Name | Jesse W Dalton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 455 Toll Gate Rd, Warwick, 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 |
|---|---|---|---|
| 1568952745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO01155 (Rhode Island) | Primary |
| Entity Name | Affinity Physicians Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053 |
| Entity Name | Emergency Associates Of Woonsocket Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912342528 PECOS PAC ID: 6002050648 Enrollment ID: O20130920000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse W Dalton, DO 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: () - | Jesse W Dalton, DO 455 Toll Gate Rd, Warwick, RI 02886 Ph: (401) 737-7010 |
Christopher Baze, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Kenneth Robert Larsen, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-736-4289 | |
Ashley Mildred Langella, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Office Of Graduate Medical Education, Warwick, RI 02886 Phone: 401-731-7000 | |
Jonathan Trent Vanadore, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 | |
Stephanie Leigh Aaron, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Road, Warwick, RI 02886 Phone: 864-650-2955 | |
Christopher J Mozdzanowski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7000 | |
Vincent Michael Varamo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-737-7010 |