Organization
ENDOVASCULAR & INTERVENTIONAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDY PETER PAOLELLA MD (PRESIDENT)
(401) 295-8655
Entity
Organization
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
Mailing address
1130 TEN ROD RD, D201, NORTH KINGSTOWN, RI 02852-4161
(401) 295-8655
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
RI6315
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020277
—
CA
Enumeration date
11/15/2006
Last updated
09/17/2010
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