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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487494407

Edward Thomas Gallucci II, DPM is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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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

Record details

NPI number1487494407
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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