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

Dr. Daniel Depolo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124758065

Dr. Daniel Depolo, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2022.

Licensed in
RI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 457-3336
Fax: (401) 525-2549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 05668 (RI)

Record details

NPI number1124758065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address593 Eddy St, Providence, RI 02903-4923

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