Sardella, Peter J

Sardella, Peter J is an individual health care provider with primary practice located at 235 Plain Street Suite 201, Providence RI 02905-3240. 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. Sardella, Peter J can be contacted via phone (401) 861-8830.

Contact Information

Primary practice address
235 Plain Street Suite 201 Providence RI 02905-3240
Phone: (401) 861-8830
Fax: (401) 351-2378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DPM00267 Rhode Island

Profile Details

NPI number 1114019551
LBN Legal business name Sardella, Peter J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1114019551 NPPES
Rhode Island MEDICAID 7002816

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