Pontarelli, Brian F

Pontarelli, Brian F is an individual health care provider with primary practice located at 486 Silver Spring St , Providence RI 02904. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Pontarelli, Brian F can be contacted via phone (401) 751-2660.

Contact Information

Primary practice address
486 Silver Spring St Providence RI 02904
Phone: (401) 751-2660
Fax: (401) 751-9990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM00294 Rhode Island

Profile Details

NPI number 1194804831
LBN Legal business name Pontarelli, Brian F
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194804831 NPPES
Rhode Island MEDICAID 7007118

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