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Jeremy Dibiasio
NPI 1114533783 · on the registry since 2020
Practice
- Address
- 17 Airport Rd
Warwick, RI 02889 - Phone
- (401) 606-2520
- Organisation at this address
- Lifespan Physician Group, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 1 Warren Way, Providence, RI
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 363LF0000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island