Individual
ANTHONY DAVID REBELLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1 W MAIN ST, NORTH KINGSTOWN, RI 02852-5111
(401) 251-2309
(401) 223-5846
Mailing address
1 W MAIN ST, NORTH KINGSTOWN, RI 02852-5111
(401) 251-2309
(401) 223-5846
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
339
RI
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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