Individual
MR. JONATHAN R TEOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPO CPO
Contact information
Practice address
1559 ELMWOOD AVE, CRANSTON, RI 02910-3845
(401) 941-6230
(401) 941-6339
Mailing address
1559 ELMWOOD AVE, CRANSTON, RI 02910-3845
(401) 941-6230
(401) 941-6339
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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