Russell David Broccoli is a Providence, Rhode Island based male chiropractor who is specialized as General Chiropractor. Active license number of Russell David Broccoli as General Chiropractor is DCP00204 in Rhode Island. Russell David Broccoli is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Russell David Broccoli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
635 Hope Street, Providence, Rhode Island, 02906
Phone:
401-351-6390
Fax:
401-331-0614
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1689740607
NPI Enumeration Date:
28 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell David Broccoli are as mentioned below.
License Number
Specialization
State
Status
DCP00204
Chiropractor
Rhode Island
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell David Broccoli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
90476
Other
Rhode Island
BCBS
204088
Other
Rhode Island
BLUE CHIP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
635 Hope Street, Providence, Rhode Island
Zip:
02906
Phone Number:
401-351-6390
Fax Number:
401-331-0614
Patients can reach Russell David Broccoli at 635 Hope Street, Providence, Rhode Island or can call to book an appointment on 401-351-6390. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
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