Organization
ROBERT A. CARRELLAS, M.D, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A CARRELLAS M.D. (PRESIDENT)
(401) 847-9955
Entity
Organization
Contact information
Practice address
674 AQUIDNECK AVE, BUILDING A, UNIT 1, MIDDLETOWN, RI 02842-5692
(401) 847-9955
(401) 847-9948
Mailing address
674 AQUIDNECK AVE, BUILDING A, UNIT 1, MIDDLETOWN, RI 02842-5692
(401) 847-9955
(401) 847-9948
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
09/01/2006
Last updated
08/20/2009
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