Individual
ROBERT CARRELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5692
(401) 847-9955
(401) 847-9948
Mailing address
674 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8200
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002857
—
RI
Enumeration date
11/14/2007
Last updated
05/08/2009
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