Individual
COREY E VENTETUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 302B, RIVERSIDE, RI 02915-2232
(401) 649-4070
(401) 649-4071
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD13662
RI
207RP1001X
Pulmonary Disease Physician
Primary
MD13662
RI
Other
Enumeration date
09/17/2008
Last updated
09/13/2016
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