Individual
ROBERT S GILARDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 KINGSTOWN RD, WAKEFIELD, RI 02879-3015
(401) 789-9758
(401) 789-9763
Mailing address
691 KINGSTOWN RD, WAKEFIELD, RI 02879-3015
(401) 789-9758
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
152305
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7057362
MEDICARE ID
RI
Enumeration date
05/02/2006
Last updated
08/30/2012
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