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Individual
BRIAN F PONTARELLI
Active
Individual
BRIAN F PONTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00294
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007118
—
RI
Enumeration date
11/03/2006
Last updated
02/07/2008
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