Organization
CHAD P. NEVOLA, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD PETER NEVOLA MD (SOLE STOCKHOLDER)
(401) 273-9555
Entity
Organization
Contact information
Practice address
120 DUDLEY ST, SUITE 105, PROVIDENCE, RI 02905-2436
(401) 273-9555
(401) 861-4943
Mailing address
120 DUDLEY ST, SUITE 105, PROVIDENCE, RI 02905-2436
(401) 273-9555
(401) 861-4943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10281
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1984965
UNITED HEALTH PLAN OF RI
RI
01
—
2642815
FIRST HEALTH OF RI
RI
01
—
31505-8
BLUE CROSS/BLUE SHIELD RI
RI
01
—
3815
NEIGHBORHOOD HEALTH PLAN
RI
01
—
407401
BLUE CHIP OF RI
RI
01
—
407860
HCVM OF RI
RI
01
—
478834
TUFTS HEALTH PLAN
RI
01
—
710058301
CIGNA
RI
05
—
CN32566
—
RI
Enumeration date
09/15/2006
Last updated
06/12/2008
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