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Individual

BERNARD G COPPOLELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
134 SANDY BOTTOM RD, COVENTRY, RI 02816-5864
(401) 828-1811
(401) 823-0065
Mailing address
134 SANDY BOTTOM RD, COVENTRY, RI 02816-5864
(401) 828-1811
(401) 823-0065

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1937
MA
213E00000X
Podiatrist
Primary
DPM252
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9007049
RI
Enumeration date
08/03/2006
Last updated
06/05/2024
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