Individual
DR. EDSELL CARLOS BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 WELLS ST, WESTERLY, RI 02891-2924
(401) 596-0174
(401) 596-2266
Mailing address
46 WELLS ST, WESTERLY, RI 02891-2924
(401) 596-0174
(401) 596-2266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12727
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010012727RI01
ANTHEM
RI
01
—
3V4135
HEALTH NET
—
01
—
53205
CONNECTICARE
CT
05
—
EB75465
—
RI
Enumeration date
07/01/2008
Last updated
12/15/2021
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