Individual
MR. ANTHONY JOSEPH ROTELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1524 ATWOOD AVE, SUITE 115, JOHNSTON, RI 02919
(401) 272-3409
(401) 831-1070
Mailing address
1524 ATWOOD AVE, SUITE 115, JOHNSTON, RI 02919
(401) 272-3409
(401) 831-1070
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4945
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11266
RI BLUE CROSS
—
01
—
1900113
UHC
—
05
—
9001126
—
RI
Enumeration date
02/28/2007
Last updated
07/08/2007
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