Individual
CHARLES R RARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PLAIN ST, PROVIDENCE, RI 02903-4828
(401) 453-7560
(401) 453-7573
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD11196
RI
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD11196
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497788657
—
RI
Enumeration date
07/09/2006
Last updated
02/17/2023
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