Organization
WALTER ROETTINGER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER FRANK ROETTINGER II M.D. (PRESIDENT)
(401) 849-2826
Entity
Organization
Contact information
Practice address
222 BELLEVUE AVE, NEWPORT, RI 02840-3515
(401) 849-2826
(401) 847-1695
Mailing address
222 BELLEVUE AVE, NEWPORT, RI 02840-3515
(401) 849-2826
(401) 847-1695
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4796
RI
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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