Chad P. Nevola, Md, Inc.

NPI #1770689002 in Providence, Rhode Island

Provider Information

NPI Number: 1770689002
Entity Type: Organization
Organization Name: Chad P. Nevola, Md, Inc.
Primary Specialty: Pediatrics
Enumeration Date: Sep 15, 2006
Last Updated: Jun 12, 2008

Practice Location

Address: 120 DUDLEY ST
Address 2: SUITE 105
City: Providence
State: Rhode Island
ZIP Code: 02905-2436
Phone: (401) 273-9555

Authorized Official

Name: CHAD PETER NEVOLA, MD
Title: SOLE STOCKHOLDER
Phone: (401) 273-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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