NPI 1114019551 · live from the CMS NPI Registry
Peter J Sardella, DPM
Podiatrist, Foot & Ankle Surgery in Providence, RI. National Provider Identifier 1114019551, active.
NPI record
| NPI | 1114019551 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 235 Plain Street, Suite 201, Providence, RI 02905 |
| Practice phone | 401-861-8830 |
| Enumerated | September 29, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00267 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.