Provider Demographics
NPI:1144815770
Name:GIULIO G DIAMANTE MD INC
Entity type:Organization
Organization Name:GIULIO G DIAMANTE MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GIULIO
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-521-3606
Mailing Address - Street 1:1277 HARTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-7121
Mailing Address - Country:US
Mailing Address - Phone:401-521-3606
Mailing Address - Fax:
Practice Address - Street 1:1277 HARTFORD AVE # LL1
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-7121
Practice Address - Country:US
Practice Address - Phone:401-521-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIULIO G DIAMANTE MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-05
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical