| Bernard G Coppolelli Dpm, Inc | |
|
134 Sandy Bottom Rd, Coventry, RI 02816-5864 | |
| (401) 828-1811 | |
| (401) 823-0065 |
| Full Name | Bernard G Coppolelli Dpm, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 134 Sandy Bottom Rd, Coventry, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255461794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (Rhode Island) | Primary |
| Provider Name | Bernard G Coppolelli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326055906 PECOS PAC ID: 4587636725 Enrollment ID: I20040809001222 |
| Provider Name | Jason P Mallette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871724740 PECOS PAC ID: 8325295884 Enrollment ID: I20120906000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Bernard G Coppolelli Dpm, Inc 134 Sandy Bottom Rd, Coventry, RI 02816-5864 Ph: (401) 828-1811 | Bernard G Coppolelli Dpm, Inc 134 Sandy Bottom Rd, Coventry, RI 02816-5864 Ph: (401) 828-1811 |
Bernard G Coppolelli, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 134 Sandy Bottom Rd, Coventry, RI 02816 Phone: 401-828-1811 Fax: 401-823-0065 | |
Lee S Lovitz, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1193 Tiogue Avenue, Coventry, RI 02893 Phone: 401-828-8833 Fax: 401-822-1515 |