Individual
LANDY PETER PAOLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-1010
(401) 736-1974
Mailing address
1130 TEN ROD RD, D201, NORTH KINGSTOWN, RI 02852-4161
(401) 295-8655
(401) 295-8335
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
RI6315
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002909
—
RI
Enumeration date
06/30/2005
Last updated
04/07/2008
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