Organization
AQUIDNECK PODIATRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILLIAM CORNELL DPM (PRESIDENT AQUIDNECK PODIATRY LTD)
(401) 846-2800
Entity
Organization
Contact information
Practice address
55 MEMORIAL BOULEVARD, SUITE 7, NEWPORT, RI 02840-3679
(401) 846-2800
(401) 849-4899
Mailing address
55 MEMORIAL BOULEVARD, SUITE 7, NEWPORT, RI 02840-3679
(401) 846-2800
(401) 849-4899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM 00195
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700178
UNITED HEALTH
RI
01
—
71215
BCBS
RI
05
—
9007121
—
RI
Enumeration date
05/10/2007
Last updated
02/08/2008
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