Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shoeline Surgical Associates, Inc

Organization Specialist · NPI 1710083043

Shoeline Surgical Associates, Inc provides Specialist services in Wakefield, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

70 Kenyon Ave Unit 325
Wakefield, RI 02879-4253
Phone: (401) 284-4114
Fax: (401) 789-1358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence RI6307 (RI)

Record details

NPI number1710083043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Coppe — President · (401) 284-4114
NPI enumeratedSeptember 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address70 Kenyon Ave Unit 325, Wakefield, RI 02879-4253

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