Individual
ERIC B RADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2271
(401) 846-6400
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11047
RI
208M00000X
Hospitalist Physician
MD11047
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29883-4
BC/BS
RI
01
—
410069
BLUECHIP
RI
05
—
9021579
—
RI
Enumeration date
10/28/2005
Last updated
04/21/2015
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