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Individual

PETER J SARDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
235 PLAIN STREET, SUITE 201, PROVIDENCE, RI 02905-3240
(401) 861-8830
(401) 351-2378
Mailing address
235 PLAIN STREET, SUITE 201, PROVIDENCE, RI 02905-3240
(401) 861-8830
(401) 351-2378

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00267
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7002816
RI
Enumeration date
09/29/2006
Last updated
07/08/2007
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