Organization
EDWARD V. REARDON, DO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD V REARDON DO (OWNER)
(401) 467-6210
Entity
Organization
Contact information
Practice address
1050 WARWICK AVE, WARWICK, RI 02888-3655
(401) 467-6210
Mailing address
1050 WARWICK AVE, WARWICK, RI 02888-3655
(401) 467-6210
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760488449
—
RI
Enumeration date
12/16/2019
Last updated
12/16/2019
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