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Individual

LEONARD R BERTHEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
111 BREWSTER ST, PAWTUCKET, RI 02860-4400
(401) 729-2304
(401) 729-2923
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO01307
RI
207QD0401X
Diabetology (Family Medicine) Physician
Primary
DO01307
RI

Other

Enumeration date
11/15/2006
Last updated
12/18/2025
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