Individual
VERA A. DEPALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE STE 6A, CRANSTON, RI 02910
(401) 829-4446
(401) 829-4434
Mailing address
725 RESERVOIR AVE STE 6A, CRANSTON, RI 02910-4450
(401) 944-6889
(401) 944-6726
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD08654
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070043451
MEDICARE PTAN
RI
05
—
110087809A
—
MA
05
—
7004345
—
RI
Enumeration date
11/23/2005
Last updated
01/30/2024
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